File:The diagnosis of diseases of women (1905) (14761104374).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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vary is of connective tissue, and is dividedinto cortical and medullary portions, the former lying external tothe latter. The Graafian follicles are scattered throughout theovary. Nerves, bloodvessels, lymphatics, and muscular fibres arealso found in the connective tissue. The medullary portion ismore vascular than the cortex. The Graafian follicles number 40,000 to 70,000 in the infantovary. They vary in size from one one-hundredth to one-thirtiethof an inch in diameter. The younger and smaller follicles occupythe medullary portion, and as they grow larger they are found tooccupy the cortical portion. A Graafian follicle consists of: 1. A tunica fibrosa and membrana propria. 2. The membrana granulosa and discus proligerus. 3. The liquor folliculi. DIAGNOSIS OF DISEASES OF THE OVARY 409 4. The ovum surrounded by the discus proligerus and composedof:a. Zona pellucida, a homogeneous external membraneh. Yolk protoplasm. c. Germinal vesicle. d. Germinal spot. Fig. 169 Mmhriated extremity.
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Fimbria ovarica. Uterine appendages, seen from behind. (Henle.) METHODS OF EXAMINATION OF THE OVARY. The bladder and rectum should be empty, and all restrictingclothing removed from the waist. An anaesthetic is not alwaysrequired, but is helpful in all cases and indispensable in many.The patient is placed in the lithotomy position. The abdomino-vaginal method is usually chosen. If the vagina is short, resisting,or sensitive to pressure, or if the hymen is intact, it will be advis-able to make a rectoabdominal examination. When the ovary liesbehind the uterus it may be better palpated through the rectum. As a matter of routine, it is advisable to first locate the uterus,then follow from the horn of the uterus along the course of the tubeto the ovary. The right ovary is best detected by the finger of theright hand in the vagina and the left ovary by the finger of theleft hand. It is not, as a rule, necessary to change hands; either 410 SPECIAL DIAGNOSIS the right or the left hand will s

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