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Transactions of the Session of the American Institute of Hom Opathy Volume 39

Transactions of the Session of the American Institute of Hom Opathy Volume 39


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1886 Excerpt: ...to 2J in. By the sound also, we should note the direction of uterus, to the pelvic axis--also if uterus is movable or bound down by adhesions, and, if so, how and where. In this form of cervix, the os may be small or patulous, but is seldom difficult of entrance. The flabby and relaxed state of cervix is often a great obstacle to the progress of the sound. A large sized sound is best if it will allow. I have found several cases, where the sound could not be made to enter, except through a widely distended speculum; and in one case only when the os was drawn down and steadied as well as put on tension by the volsella. Great care and skill are needed in sounding such an uterus, as the tissues maybe penetrated. In the nodular form of atrophic cervix, the os is most frequently small and difficult to find, except through speculum. The cervix is merely rudimental. Such a cervix conjoined with atrophy of uterus, will often tax our skill to the utmost to sound its depth and direction. It can only be accomplished at times by bimanual examination. Introduce the second finger into the rectum until the uterus is felt and held forwards so as to steady it against the first finger which should be in the vagina. Along this first finger, carry the sound, until it engages the os, which it will enter, the uterus being held from vanishing, as it will otherwise do. It may be necessary to use volsella, to forcefully draw down the os so that the rectal finger can actually measure the size and character of uterus. The thin walls of the rectum above the upper sphincter, enabling this and often, also, a most correct knowledge of the ovaries can be obtained, when we are able safely to draw down the os nearly to the ostium vaginae. By this examination, we have formed a complete diagno...


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Product Details
  • ISBN-13: 9781153839761
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 278
  • Spine Width: 15 mm
  • Width: 189 mm
  • ISBN-10: 1153839768
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 553 gr


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