The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

    116/434 (page 98)
    dysmenorrhea may be added symptoms of liypeneraii and endometritis, with the other results of obstruction These are especially liable to be induced after marriad in women who up to that time had no symptoms, oi only that of slight dysmenorrhea. Diagnosis.—The direction of the os and cervix if readily discovered by vaginal touch. In cervical ante- flexion, a considerable length of the cervix may somd times be traced behind the os, and the use of tfy sound may be necessary to distinguish between cervical anteflexion and partial retroversion. In corporeal ante] flexion the fundus is felt resting low upon the anterici vaginal wall, and may be defined on bimanual exama nation as described in the case of anteversion. It« found to move in conjunction with the cervix, and« concavity or angle is felt between the two. (M passing the sound it is generally arrested near fl internal os, and can only lie carried onto the iumlusj either by taking the handle far back toward tin perineum, by pushing up the fundus by the finger fl the vagina, or by withdrawing the instrument afl reintroducing it with an increased curve. The sliglflM degrees of corporeal anteflexion may be difficult m detect, especially in virgins when the vaginal walls am tense, and the exact curve of the uterine axis can then only be determined by means of the sound. TOT conditions chiefly to be distinguished from anteflexidm are a fibroid in the anterior uterine wall, thickenings due to cellulitic or peritoneal inflammation, or to blood effusion, or tumours or calculi in the bladder. All om these conditions, except calculus, are distinguished hm their fixity and ill-defined outline, but the most perfects1 evidence is that derived from the sound, especially 9 distinguishing the case of a fibroid in the anterifl uterine wall. If the swelling felt anteriorly disappeaflBj when the uterus is straightened by the sound, or turned into a position of slighl retroflexion, it is prov^B to have consisted of the fundus alone. Treatment.—Treatment is, of course, only necessary