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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
Fig. 53.—Modified Knee-chest Position Used in Cystoscopy. B. Is position ofButtocks in the Modified Position. thirty-two-candle-power lamp with a tin reflector is better. Anargand burner makes the best gas light, but a Welsbach light isgood. A kerosene lamp must have a circular burner so as to givea large flame. Any lamp should have the shortest possible stand sothat the source of light may be as near to the patients sacrum aspossible, in order that the angle formed at the mirror on the opera-tors forehead between the rays from the source of light and thereflected rays going into the bladder may be as acute as possible.It should be remembered that the electric light, if held near theuncovered skin for any length of time, will cause a serious bum.If the patient is anesthetized this is a very important fact to bearin mind. 112 THE URETHRA, BLADDER, AND URETERS Light reflected by a head mirror from an ample source is farbetter as an illuminant of the bladder than light from a small
Text Appearing After Image:
Fig. 54.—Bladder, Vagina, and Rectum Ballooned by Air Admitted with Pa-tient in Knee-chest Position. (Kelly.) electric headlight, because it is difficult to keep the field illuminatedwith the small light, every motion of the head deflecting the rays. DIRECT CYSTOSCOPY 113 Any form of illumination introduced into the bladder obstructsthe view, the wires for the lamp cutting off a part of the lumen ofthe urethra, besides the risk of burning the bladder by the heatgenerated by the lamp. All being in readiness, the pledget of cocaine-soaked cotton isremoved from the urethra and a well-lubricated No. 10 cystoscopewith its obturator in place is passed into the urethra and bladder.If air does not enter the vagina it is well to open the introitus

Note About Images