Diagnosi ginecologica . ed in esami ginecologici diversi dalla dorsale; posizione TheSims; posizione ginocchio-torace; posizione thelitotomia; posizione pelvi sollevata; posizione eretta; posizione eretta. 4. Odore come segno diagnostico. 5. La raccolta degli scarichi e dei tessuti per l'esame batteriologico. 6. Ispezione dell'addome. 7. Palpazione dell'addome. 8. Percussioni, auscultazione e mensurazione dell'addome. 9. Strumenti e uso del tteir nella diagnosi. ESAME 31 1. Preparazione del medico e Posizionamento del paziente sul tavolo Il medico si prepara mediante washi
2286 x 1093 px | 38,7 x 18,5 cm | 15,2 x 7,3 inches | 150dpi
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Gynecological diagnosis . ed in gynecological examinations other than the dorsal; theSims position; the knee-chest position; thelithotomy position; the raised pelvis posi-tion; the standing position. 4. Odor as a diagnostic sign. 5. The collection of the discharges and tissues for bacteriologicalexamination. 6. Inspection of the abdomen. 7. Palpation of the abdomen. 8. Percussion, auscultation, and mensuration of the abdomen. 9. Instruments and tteir use in diagnosis. THE EXAMINATION 31 1. Preparation of the Physician and Placing the Patient on the Table The physician prepares himself by washing his handscarefully and if they are cold by warming them, and bypulling up the sleeves of his coat and his cuffs so that theywill not come in contact with the patient. As to rubber cotsand rubber gloves, they interfere with the tactile sense, how-ever used, and should be employed only in exceptional in-stances, as in cases of suspected gonorrhea and of fetid dis-charge, also in rectal examinations. They serve to protect. Fig. 2.—The Examining Hand, Showing Protective Sleeve. coming patients and also the physician from contamination, asinoculation with syphilis, and favor the cause of asepsis. Thephysician who is personally neat and washes his hands care-fully before as well as after a vaginal examination, need haveno fear of carrying bacteria from patient to patient. Theexamination can not be so well made with cots or gloves as withoutthem, therefore do not use them unless necessary. As to protecting the sleeves, it is a good plan to wear sleevesmade of Stork sheeting or thin rubber, with elastics atthe wrists and elbows, pulled on over the coat sleeves. Theserubber sleeves can be frequently cleansed and they preventcarrying infection from one patient to another. They obviatethe necessity of removing the coat, a procedure which is undesir- 32 PHYSICAL EXAMINATION able because it seems to indicate to the patient formidable un-dertakings. Of the importance of washing the hand
