Diseases of women

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D. Appleton and Company, 1913 - Gynecology - 944 pages
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Page 400 - The lungs contained eight or nine nodules, -varying in size from that of a millet seed to that of a pea.
Page 679 - They vary in size from that of a pigeon's egg to that of an orange, though, exceptionally, much larger cysts have been met with, reaching the size of an adult's head. The wall of the cyst varies in thickness, and the external surface may be smooth and shining, or rough from adhesions. The inner surface of the cyst wall is as a rule smooth, shining, and faseialiie, 599 ihough occasionally a few small wartlike, papillary growths, are observed springing from the surface.
Page 609 - The axillary vein should be stripped absolutely clean. Not a particle of extraneous tissue should be included in the ligatures which are applied to the branches, sometimes very minute, of the axillary vessels. In liberating the vein from the tissues to be removed it is better to push the vein away from the tissues rather than, holding the vein, to push the tissues away from it. It may not be necessary, but it is well to expose the artery and remove the possibly infected tissue above it. It is best...
Page 577 - By alternate traction and upward pressure of the uterus, an accurate idea may now be obtained as to the proper point to begin the circular incision, so as to avoid injuring the bladder or opening into the cul-de-sac of Douglas. As to the latter, however, should it be found that the disease has involved the retro-uterine tissues, and that its excision or destruction by the cautery...
Page 579 - ... to be encountered, and hence, in this locality particularly, a high degree of heat in the platinum blade is to be carefully avoided. As an additional security against hemorrhage, the convexity of the knife should be pressed against the external surface of each particular section cut, so as to close the vessels more effectually.
Page 741 - In marked contrast to him we had Henry VIII, who, when thus questioned before the birth of his son Edward, exclaimed : " Save the child, by all means, for other wives can be easily found." At the present time such men might be put down as either a good husband but a bad father, or a good father but a bad husband. The doctrine of the Roman Catholic Church has been that...
Page 843 - The leg-foot-board should now be lowered, and the operator's stool placed in position. The illumination apparatus should next be adjusted as illustrated. In this new posture, which is equivalent to the knee-chest posture, the abdominal rectum is to be examined. (b) Introduction of the proctoscope requires supported eversion of the buttocks and steady gentle pressure of the well-lubricated instrument upon the anus in the direction of the umbilicus, until the sphincters are felt to yield; or the patient...
Page 845 - Thus, what has heretofore been regarded as a cavernous ampulla is 'seen to be divided into several chambers. There are as many chambers in the rectum as there are rectal valves. The number of rectal valves is variable. Some subjects have but two, others have four, but 90 per cent, of persons possess three.
Page 845 - The uppermost valve is invariably situated at the juncture of the rectum and the sigmoid flexure, and is usually on the left wall; the next is on the right, and the lowermost on the left wall. The positions of the lower two valves are sometimes anterior and posterior respectively.
Page 609 - When we have reached the junction of the posterior and lateral walls of the axilla, or a little sooner, an assistant takes hold of the triangular flap of skin and draws it outward to assist in spreading out the tissues which lie on the subscapularis, teres major and latissimus dorsi muscles. The operator, having taken a different hold of the tumor, cleans from within outward the posterior wall of the axilla.

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