Licence: In copyright
Credit: Medical gynecology / by Howard A. Kelly. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
33/680 (page 23)
![surface, Avlicvc it ap})cai's a.s a dark retl spot surroimdiiig tlio os; but this is not a laceration or an erosion. Treatment of this condition, as a rule, is nusa])])li('d. Examination in the Knee-breast Position,—An examination in the knee- breast position (see Fig. IS) is often of the utmost service in exposing every part of the vagina, with the cervix, to view. This posture is of the greatest utility in applying treatments to the inflamed vaginal walls, as the rug£C are Fjg. 21.—KxAMiNiNfi TiiK Rkctum IN THE Left Lateual (Sims') Position wrrii Pelvis Elevated. The clcctxic liglit is reflected by means of the head mirror through the cylindrical speculum into the bowel. tluis all smootlied out and the vagina appears as a broad, smooth surface. A good way to let air into the vagina before introducing the speeuliuu is shown in Figure 10. The exauiination is then best luade by means of the writer's cylindrical metal speculum, with a large liandle, as shown in Figure 20, which exposes every part and protects the vulvar orifice when treatments are given. The Sims' position '(.see Figs. 21 and 22) is one in wliich tlic patient lies semi-prone, with the right leg drawn a little above the left, and witli the left arm behind tlie back or lianging over the edgo of tlie table. The posture assumed is one in wliich, if the abdomen were opened, the pelvic viscera would be poured out onto tlic table. The pelvis must bo so disposed at the edges of](https://iiif.wellcomecollection.org/image/b21511512_0033.jp2/full/800%2C/0/default.jpg)
