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.

    131/434 (page 113)
    Jo Menorrhagia or metrorrhagia are excited. Fre- lently ulcers are formed from the effects of exposure junction on the cervix or vaginal walls, and these ly be the source of frequent slight hgemorrhage. In I standing cases the rugae of the vagina are lost, and I mucous membrane becomes hardened, like skin. I mi the effect of oedema and tension the mucous inbrane also loses its close attachment to the cervix, 1 vaginal reflection becomes more indefinite, and the inal cervix may, in consequence, appear to have ippeared. In the third stage of prolapse one or h ovaries may descend externally with the uterus, len in this position, the uterus is commonly found lier small, and the os contracted. The pouch of iuglas often descends externally even in prolapse of | second degree, but rarely contains any intestines 3. 43, 44). In recent prolapse, there is ectropion tfte cervix from tension of the inverted vaginal lis, but in old cases the os may be found small, J. sometimes minute, even in prolapse only of the I Hid degree. After the menopause the cervical |al may become more or less completely occluded 1 placement of the base of the bladder may produce jn obstruction to the ureters as to cause hydro- ps or other kidney lesion, and unreduced ntia may lead to extensive and even fatal n 11 vi» Jung diagnosis.—When the cervix is external, it is im- Sible, if due care be taken, to make any error of i;nosis._ The use of the sound is generally desirable iiscertam the length and direction of the uterine jty, and to learn how far the fundus is below its inal eye] In prolapse of the first degree, the | Dt ol displacement can only be accurately estimated akmg the examination while the patient is stand- -1 by testing the effect of bearing-down efforts recumbent position a prolapse of the second J may be converted into one of the first, but if ig dl,y reproduced if the patient bears down 'Id < an< J die 10 I