File:The diagnosis of diseases of women (1905) (14740390026).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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this process theuterus becomes very firm. The diagnosis is based upon the uniform enlargement of theuterus and upon the change in its consistency. In the chronic stagethere may be no tenderness on pressure. Chronic metritis may be regarded as a clinical term signifyinga uterus that is uniformly enlarged, firm in consistency, and onewhich has lost its normal flexibility. Chronic metritis is to be diagnosed from interstitial fibroids.(See Chapter XXVII.) ABSCESS OF THE UTERUS. Von Franque (Cent. j. Gyn., No. 20, 1902) reported 15 casesof undoubted abscess of the uterus, and Lea (Journal of Obstetricsand Gynecology of the British Empire, February, 1904) has addedanother case. The clinical diagnosis is of course diflScult. Thereis no way of distinguishing the condition from a suppurating inter-stitial fibroid. In all cases there is a history of puerperal, post-abortive or gonorrhoeal infection. Pyrexia will depend upon theacuteness and virulence of the infection as will also leukocytosis.
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licular Erosion ol Uervixi, 1 t11^ Rful \ nf the. \ ENDOMETRITIS 307 Pain is usually severe and paroxysmal and is referred to the uterus.On physical examination the uterus is enlarged; this enlargementis not always symmetrical, especially if the abscess is large andnear the peritoneal surface of the uterus. The uterus may or maynot be freely movable, is always sensitive to pressure, and its con-sistency is variable. Associated inflammatory lesions are invariablypresent. These cases usually terminate in perforation of the uterinewall into the peritoneal cavity, uterine cavity, or rectum. CHAPTEE XXVII. THE DIAGNOSIS OF FIBROMYOMA OF THE UTERUS. Etiology.Histogenesis.Anatomical Diagnosis.Microscopic Diagnosis.Degeneration of Fibroids.Clinical Characteristics.Clinical Diagnosis.Differential Diagnosis. We know nothing of the essential cause of uterine fibroids.Certain factors are known to influence their origin and devel-opment, and may be briefly discussed. 1. Heredity has been much refe

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