The Physical Diagnosis of Diseases of the Abdomen

Cover The Physical Diagnosis of Diseases of the Abdomen
The Physical Diagnosis of Diseases of the Abdomen
Edward Ballard
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its stage of contraction. When, during a consecative normal pregnancy, the tumour has occupied some part of the abdomen, it may after labour be discovered in this situation. The tumonr thus detected in the pelvis may be the only indication of the disease; but where abdominal tumour is conjoined, its continuity with the pelvic tumour is determined by the trans- mission of impulse from one to the other, and perhaps also, by movement of the one producing movement of the other.
The pelvic tumour ma
...y be undistinguishable by its shape and surface from an ovarian enlargement, but in other cases it presents to the finger the irregular feel of a foetus, or parts of its body and limbs may be recognised by their form. Sometimes the head of the foetus alone descends into the recto*vaginal pouch, when on vaginal examination it may be perceived unusually • low for a natural head presentation, and yet covered by a substance apparently as thick as the parietes of the uterus. In order to distinguish this from natural pregnancy, the vaginal palpation may require to be aided by the introduction of a portion of the hand of the observer, so as to enable him to trace the course pursued by the anterior wall of the vagina, and the relation which the tumour bears above and anteriorly to the parietes of the canal.

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