Medical Handbook Of Philadelphia 1876

Author : UNKNOWN. AUTHOR
Publisher : Forgotten Books
ISBN 13 : 9781330420515
Total Pages : 616 pages
Book Rating : 4.4/5 (25 download)

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Download or read book Medical and Surgical Reporter (Philadelphia), 1876 written by UNKNOWN. AUTHOR and published by Forgotten Books. This book was released on 2015-06-26 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from Medical and Surgical Reporter (Philadelphia), 1876, Vol. 30 From letters of inquiry which I am receiving from widely distributed portions of this country, I am led to infer that a few hints with regard to the treatment and the prevention of the more ordinary forms of uterine disorders will not come amiss to some of the many readers of this journal. In order, however, to make these hints as practical as possible, this paper will be made up mainly of categorical answers to the leading questions of my correspondents. But for this very reason it will necessarily be somewhat dogmatic as well as desultory in its character; and will also, I fear, compel the frequent use of the first person, an egotism for which, in advance, I ask indulgence. Instruments. - The instruments which I recommend the students of the University to purchase at the outset of their practice areas follows: - One base-expanding bivalve speculum (a modification of Smith's), whose blades are three inches and three-quarters long, and one inch and a quarter wide. Two glass speculums (Fergusson's), the one not longer than five inches and three-quarters, with the smaller aperture measuring one inch and a quarter in diameter; the other five inches long, and at the smaller aperture seven-eighths of an inch wide. Two probes or applicators, of aluminium wire, with one adjustable handle. One uterine tenaculum. One small volsella forceps. One speculum forceps. One uterine sound. One uterine repositor. One hard rubber uterine syringe with a long and flexible nozzle. One uterine dilator. This list by no means exhausts the number of instruments required for special cases of uterine disease. But, in my opinion, no one can intelligently and successfully treat the ordinary diseases of the womb without, at least; the foregoing instruments. At first blush the blades of the bivalve speculum (Figs. 1 and 2), may seem too short. But practically, if their tips be directed to the previously ascertained site of the cervix, it will be found that, when widely separated, they will so stretch the uterine end of the vagina as to bring down the cervix into the field of vision, not only very close to the eye of the physician but within reach of his index finger. For diagnostic or for operative purposes these are advantages not to be overlooked. In very rare cases, such as of fat women, whose vaginas are large and flabby, of those in whom, by a fibroid or an ovarian tumor, or by pregnancy, the womb is lifted up above its accustomed site, the cervix may not be well exposed by this instrument. In these very exceptional cases the larger of the Fergusson speculums may be substituted for the bivalve. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.