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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ne inch thick, encasedin a dark-colored, enameled canvas cover. This cover is buttonedto the under edge of the table top, as the removable sides of acarriage are fastened on. Fixed or portable rests for the feet are an advantage, becausewith the feet slightly elevated above the surface of the table andat a short distance beyond the tables edge the abdominal musclesare more thoroughly relaxed and the patient is more comfortable PREPARATION OF TABLE AND INSTRUMENTS 27 than she is with heels close to the buttocks, and slipping off thetable. In private houses the kitchen table is always available or, if itis best in occasional instances to examine the patient in bed, anironing board or bread board may be placed on the mattress underthe patients hips, which should be at the edge of the bed, the feetresting in two chairs. A folded blanket, or two thicknesses of acomforter, should be laid on the table or board to take away thehardness. In this way the patient is reasonably comfortable during
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Fig. 1.—The Examining Table. the short time occupied by the examination and the physician cando his work to the best advantage. There are few points of superiority and many disadvantagesin the complicated and costly tables sold in the instrument shops.The patient is not at ease on an unstable surface and she does notlike to feel that by the pressure of levers she may be tilted into allsorts of positions; she is not in a state of mind to appreciate thebeauty of the ingenious mechanism concealed in the table, andwould rather lie on a solid, warm wooden table than on a hard,cold one, made of glass and iron. 28 PHYSICAL EXAMINATION The ordinary vaginal examination need not be a strictly asepticoperation, and it calls for clean, not aseptic furniture. Suppose we have the table placed with its end toward a goodlight. We cover it with a folded comforter and a sheet, unless itis already provided with a permanent cushion. When the patientlies on her back with hips and heels at the edge, the

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