Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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he will acquire the abil-ity to distinguish theseintrapelvic conditions inthe only way that such conditions can be distinguished, namely, by touch. After the student has,by lectures, supplemented by charts and demonstrations, been helped to form amental picture of the normal organs—their position, size, shape, structure andrelations—then comes the task of helping him to recognize such conditions bythe sense of touch. This is not a matter of a few days. It takes weeks and monthsof patient work and many careful examinations, to be able to recognize normalconditions. The abdominal wall and the vaginal wall intervene between theexamining fingers and the important organs. These intervening structures varyso much in thickness, in consistency, in tension and in sensitiveness, that thereis infinite variety in the facility with which the organs may be outlined. Again,the organs themselves vary much within normal limits, in different individualsand in the same individual at different times.
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Fig. 84. Mechod of determining how intimately a mass is attached tothe uterus. Palpating the sulcus between the two. (Kelly—OperativeGynecology.) 68 THE PHYSICAL EXAMINATION

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