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.

    74/166 (page 50)
    lipn. oriflc«. body. repercussion. cdvity. polypus. Tumour— scat. form. ; side;—neck of uterus shortened, lost (note mode of j termination of vagina), elongated; increased in breadth; 'altogether smaller than u.sual; — consistence, soft, j cushiony, hard; — covered with transverse folds of ■ mucous membrane; irregularities or elevations on its i surface ;—pulsation of arteries on its surface;—ulccra- ; tion(024); extent to which neck has been destroyed;— I tumours, their extension in direction of body of uterus i or towards other orgaus;—adhesion of neck of uterus, ■ atw'hatpart?—Tendeniess.—Lips of uterus; natural; : of ring-like form; hard; soft; irregular; enlarged (stating which lip); flat; everted; thinned; smooth ; lobulated 'in two, three, or more lobules ?); excavated, \ etc.— Orifice of uterus; inea])able of being rcaehed, : from what cause? direction in which it points; its shape, natural, oval, rounded, irregular, excavated; elevated on one side; closed ;—open, degree of open- ness ^admitting one or more fingers);—obstructed, I nature of obstruction (if ascertainable);—tumour pro- jecting through orifice; its extent (229), narrowing of tumour opposite orifice, attachment of tumour to any part of orifice, or readiness with which finger can be passed round its neck.—Body of uterus: position; apparent size (amount of enlargement of organ above the cervix); is the enlarged part anterior or poste- j rior to cervix, or is the enlargement in all directions ? j —fonu of enlargement; lobulation or other irregulari- I ties of surface; — consistence, hard, soft, fluctuat- ing ;—apparent weight of uterus;—fixity of uterus.— i Repercussion (ballottement).—Presenting part of a fmtus perceptible.—An angle perceived between neck and body of uterus; anteriorly, posteriorly, lateridly. —Results of introduction of finger into cavity of uterus; esca])e of gas, of fluid matters (their cha- racters) ;—solid substance felt within it; polypus, its point of attachment (by a neck, by an extended sur- face), its size, form, consistence, degree of sensibility; characters of substance, if any is brought away by the finger. 233. Tumour felt through Kail of vagina (this in- cludes the examination of the Ovaries and Fallopian tubes):—exact position in regard to vagina, jadvic viscera,and pelvis; anteriorly (superiorly orinferiorlyV), posteriorly (superiorly orinferiorly ?), laterally;-- size; extent of pelvic cavity occupied by it;—form, cylin- drical, rounded, irregular, etc.;—surface; smooth, irre-