Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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rin the vagina. 9. A Distended Urinary Bladder.—If the rules for the preparationof the patient for an examination have been observed (see ChapterIV., page 23) it will have been learned that the patient has beenunable to urinate, and therefore a catheter has been passed. Itsometimes happens that a patient is unable to speak the languageor is unconscious, and the question of ovarian tumor arises. Itis safe to pass the catheter if there is the slightest doubt that thebladder is empty. Upon palpation the full bladder is not so mov-able as an ovarian cyst, as a rule, and the uterus is retrovertedunder the bladder. Dribbling of urine is apt to be a symptom ofan overfilled bladder. LARGE OVARIAN TUMORS 301 Diagnosis of Large Ovariax Tumors Large ovarian tumors are those which are too large to be con-tained in the true pelvis and are of abdominal development. Theyfill the abdomen to a greater or less degree and lie on the falsepelvis. The diagnosis depends in great measure on the determina-
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Fig. 126.—Hegars Method of Determining the Relation ofTumors to the (Jterra tion of the connection of the tumor by pedicle with one or theother side of the fundus uteri. If the tumor is very large suchdetermination is difficult of accomplishment. If the tumor Issmaller, so that there is space to mow it within the abdominalwalls, moving the tumor will be felt by the finger in the vagina <pull the uterus at the same time. By rectal palpation, after trac-tion on the cervix has been made by a double tenaculum, the pi 302 DIAGNOSIS OF DISEASES OF THE OVARIES cian may be able to distinguish the situation and characteristicsof the pedicle. (See Fig. 126, page 301.) Inspection.—Inspection of the abdomen of a woman having amoderately large ovarian tumor will show the enlargement mostpronounced on the side from which the tumor has sprung. Thisis not the case with very large tumors. As a rule the enlargementis in the lower portion of the abdomen. B. C. Hirst ( Diseases ofWomen, Se

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