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Cyclopaedia of obstetrics and gynecology. v. 6
Cyclopaedia of obstetrics and gynecology v 6 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: be very gentle if the patient is timid, and to defer success until the second exploration. The patient is then better acquainted with the physician, and the mode... more » of examination, her diffidence has disappeared, she understands the physician's injunctions and is able to carry them out. Advantage may sometimes be taken of nervous sobbing and crying. During the paroxysmal expirations which take place under such circumstances, the hand may be pushed in deeply without meeting with obstruction. Roederer recommended for the detection of tumors deep within the pelvis, that the patient take full inspirations and that the receding abdominal walls be then followed during expiration. The hand should be kept firmly applied after the first expiration, so that the ground gained maybe held during the following inspiration, and then the hand is pressed in more deeply at the next expiration. The most difficult thiug to teach the patient, is to make full and deep expirations. In many this is entirely impossible, either on account of ignorance or deficiency in will power. Hence we are not infrequently compelled to resort to anaesthesia. In difficult and important examinations, for example, in morbid conditions in which the question of operation arises, this may be indicated from the first. Likewise, if great sensitiveness of the abdominal walls, introitus vaginae or rectum, great obesity or tension of the abdomen, etc., render the examination impossible, or at least very difficult. It is rarely possible to employ the urethra and bladder in examination, except after the administration of an anaesthetic. Palpation Of The Abdomen. The foregoing remarks will suffice as regards the position of the patient and other preparations. But it must be remembered that this examination can generally b...« less