This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. The instrument I use is essentially a short, split, circular tube provided with an obturator and also with a hinge joint on its inferior surface; the handles controlling the sides are kept apart by a spring between them or in any intermediate position between "open" and "closed" by means of the automatic rachet-way between the handles. A long lip on the edge of the rachet-bar effectually prevents pinching of the mucosa on withdrawing the instrument, as complete closure cannot be made except by deliberate attempt. To use this instrument as an ordinary proctoscope or anoscope, it is merely inserted and the obturator removed.
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A speculum Latin for "mirror"; plural specula or speculums is a medical tool for investigating body orifices , with a form dependent on the orifice for which it is designed. In old texts, the speculum may also be referred to as a diopter or dioptra.