What to observe at the bed-side and after death in medical cases.

  • London Medical Society of Observation
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: What to observe at the bed-side and after death in medical cases. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    73/166 (page 49)
    PAKT I.] EJCAMIXATION BY VAGINA. 228. Protnui/m from tmltta ejrttmallg:—number of protnwion*; amount; form ;—condition of surface of protnuion; colour ; presenting appearanee of os nttai n|»n it, etc.—Effect of posture or cslUeterism on protrusion. — Palpation of protrusion; — distin- gaisned ns uterus by its form, si*e of uterus;—pro- trusion soft, elastic, fluctuating.—Percussion of pro- trusion, reeouaut, dull. Examination the txrach, through tie Vagina. 229. Toffina:—orifice, its size; contracted by muscles; surrounded by swollen mucotu membrane; - direetkm of ragina in relation to pelvis ; length ; breadth; nar- rowing of any {wrt, its exact seat and degree, its apparent cause; complete closure of canal, its scat; — mode of termination of vagina. — Mucous mem- brane : smooth, velvety, rough, corrugated, swollen, or Ihickenwl; presenting puckering, frwua, regetatioas, etc. (their scat, etc.)—Pulsation of arteries perceptible or not? generally or limited (to what jiarl;?—Tension, hartlness, or resistance to pressure at any (mrt of the wall?—Ruptures, into rectum, into bladder;- other , abnormal oi>euings, their seat, cimimunicatiou with felt j tumours;—nature of matters discharged from the open- ings, hair, portions of fmtal substance, bones, etc.— | Timrours attached to wall of vagina; their piwition, size, form, etc.; sessile or pedunculated ? their sen- sibility.—A'onteuts of vagina; a clot; a polypus, its ' size, shape, consistence, sensibility, etc., traced to os uteri (232); foreign substances in vagina ipessanrs,ete.) 230. Urethra . thickening in its course, its extent, ' hardness, etc. (judgment assisted by simultaneous use | of catheter). i 231. Bladder: — distended; protruding anterior vaginal wall; fluctuation felt on impulse over supra- { pubic region;—effects of pressure in supra-pubic region i on tumour; effect of catheterism, of efforts at mictu- rition. — Hard tumour about situation of base of 1 bladder; its form, irregularity, extent, mobility, etc. j 232. Uterus.—Seek: its jwaition, elevated, dc- presml (amount of each), displaced towards either 1 side of pelvis, forwards or backwards;—axis altered in ' direction, jdaced horizontally (jjartiall) or completely?); | os uteri directed forwards, backwards, or to cither 49 E [§ ‘V. t. Protrusion from j miTB— I inspection. I palpation. i percussion. ; Etamituliim hp I PegnM. ! : Vagina— i orittce. I directiciJ. ' site. closure. tcnninallon. mucous niem- brmiK-. j pulsation of I arteries. rasiMance. ruptunrs, etc. tumours, contents, clot, potjpus. foreittn suli- stauces. Urethra. Blsthler— distension. tumour. Uterus— neck.