Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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366 AFFECTIONS OF THE URETHRA AND BLADDER. In the process of the examination of the entire bladder conducted in thisway the field of vision has changed from the posterior wall perpendicularto the plane of vision to the triangular area which lies almost parallel to it;at right angles differences in color are best seen, while in the plane of visionoutlines which cross it come out more distinctly. The retrosy nip hy seal area comes into view on elevating the handle ofthe speculum so as to direct the inner end toward the symphysis pubis. Occasionally a bladder will be found which does not remain ballooned outwith air, but undergoes periods of more or less rhythmic contraction, each ofwhich lasts half a minute or more. With the contraction there is an influxof blood into the capillaries, and the mucous membrane assumes a rosy hue,
Text Appearing After Image:
Fig. 226.—Instrument for measuring the Distance Between the Internal Orifice of theUrethra and Various Points on the Vesical Walls. The distance in millimeters is registered on a graduated arm on the outside. One arm slides along theother and the lower one is provided with a little hook on its inner end to hold it against the inner endof the speculum. Knee-chest posture. becoming more intense as the contraction increases, until the whole organ isthrown into small folds like a labyrinth of cerebral convolutions. With thecontraction the air is audibly expelled and often urine comes sputtering outwith it. After waiting from half a minute to a minute the contraction relaxesand the bladder expands, so that the examination can be continued. The colorand appearance of the walls and of the vessels of a normal bladder must be wellfixed in the mind by numerous examinations, because the normal conditionsare the standards of comparison in determining the presence of areas of con-gestion, inflam

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