The treatment of pelvic inflammations through the vagina.

  • Pryor, William Rice, 1857 or 1858-1904.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of pelvic inflammations through the vagina. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    cations to the endometrium arc permissible. I can but repeat the caution I gave above, for it is exceedingly- easy by means of a filthy sound or dilator to change one type without complications into that other virulent form which is the starting point of processes of the most de- structive kind. Forms of Endome'jritis. ^^P^^^', , ] Of the Cervix; (jionorrheal, > Tubercular, J ^^ ^^'^ ^^''P-^- ACUTE AND CHRONIC SEPTIC ENDOCERViaTIS. The dense, firm tissue of the cervix has normally great resistant power against all the pyogenic cocci except the gonococcus. Lined as it is by a membrane well supplied with racemose glands, it presents the charac- teristics of other structures so formed. In the mature woman septic endocervicitis does not often exist alone, but in young women it is very common (Fig. I.) Most often it is found to be co-existent with a more or less severe type of corporal endometritis. Where the gono- coccus is the cause of the inflammation, endocervicitis very frequently exists alone. Symptoms.—In the acute stage, beyond a sense of weight in the pelvis, little discomfort is felt. There is a profuse purulent discharge from the cervix, tenacious and hard to remove. But in some cases no discharge is noticed other than one normal to the parts, the patho- genic germs being quiescent. Upon examination we find the cervix congested and in very acute stages, bleeding upon the slightest touch. The follicles project from the surface as red papillae and give to the cervix the appearance of being eroded or ulcerated. (Figs. 2, 3). In more chronic cases the Nabothian follicles become af- fected ; certain of the typical glandular follicles become closed, and they too form cysts. This process of in- flammation may be so general and extensive that the