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.
35/680 (page 25)
![the table as to afford a convenient view of the parts when the speculum is inserted, with the perineum retracted and the vagina ballooned out with air. If the table is elevated as shown in Figure 23, the distention of the vagina is greater and a better view is often afforded. Examination in Children.—The examination of a child suffering from a vaginitis is always easiest to make in the knee-breast position, as it causes no pain, and affords a perfect exposure of the entire vagina and the cervix, impossible by any other method (see Fig. 18). To make the examination entirely painless, the nurse should slip a little pledget of cotton attached to a thread saturated with a ten per cent solution of cocain just inside the Fio. 24.—Thk Kxaminatidn- of a Cirti-n aboxit Six Years Old, siioaving the Facility with which THE EnTIRK PeLVI.S CAN DE PaM'ATKP liY A JJliMANUAL ReCTAL AN'l) AllOOMINAl, liXAMINATlON, OwiNQ TO THE Relatively Laiige Size of the Examining Hand. hymen. Then after five to ten minutes the little patient is put in the knee- hreast posture and the cotton removed, Avhen tlie vesical speculum No. 10 is introduced and the vagina at once balloons out and can be seen in all its parts by a reflected liglit. It is usually easy, without the knowledge of the child, to apply a thorough treatment, say a five to ten ])(>r cent solution of nitrate of .silver, to all parts of its Avails, or to insert a small medi- cated tampon, saturated with, say, thirty per cent to fifty per cent solution of argyrol, attached to a fine thread, by which it can be witlidrawn in six to twelve hours.](https://iiif.wellcomecollection.org/image/b21511512_0035.jp2/full/800%2C/0/default.jpg)
