Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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g-nosis. Aside from the danger of infection, there is the added riskof perforating the uterus at a point possibly thinned by the tumor. Great difficulty may be experienced in the passage of the sound.The tumor may be impinged upon and give the impression thatthe depth of the uterus is short in contrast to the usual lengtheningof the uterine cavity as found in the presence of submucous andinterstitial fibroids. The shape of the uterine cavity is also to benoted by the sound. It may be encroached upon and greatly dis-torted, so much so that the sound cannot be passed to the fundus. Palpation of the Adnexa and Round Ligaments. In favorablecases the tubes and round ligaments can be palpated in a conjoinedexamination. It is observed that their location and point of attach- DIAGNOSIS OF FIBBOMYOMA OF THE VTEBVS 33I ment are altered by the tumor, and it is sometimes possible tolocate the tumor in its relation to the uterus by observing theposition of the adnexa and round ligaments. Fig. 141.
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M It is sometimes possible to locate a fibroid in relation to the uterus by palpating the uterine appendages and round ligaments.I. The fibroid is subperitoneal and sits upon the fundus, hence the appendages and roundligaments are not disturbed in their relative positions. II. The fibroid is subperitoneal andsits upon the posterior wall of the uterus, and extends backward and to the left. Theappendages and round ligaments are not disturbed in their relative positions. III. Thefibroid is interstitial and evenly distends the uterus, hence the appendages and round liga-ments are separated on the same plane. IV. The fibroid is interstitial and lies in the fundusand right cornua. The right tube and round ligament are elevated and dislocated outward. Where the uterus is small and a larger fibroid sits upon the fundusthe tumor may be mistaken for the uterus. The attachment of 332 SPECIAL DIAGNOSIS the tubes and round ligaments when determined will indicate theposition of the uterus apart fro

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