Identifier: atlasepitomeofgy00scha (find matches)
Title: Atlas and epitome of gynecology
Year: 1900 (1900s)
Authors: Schaeffer, Oskar. (from old catalog) Norris, Richard Cooper, 1863- (from old catalog) ed
Subjects: Women
Publisher: Philadelphia, W. B. Saunders & company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
e uterine wall, escaping itstension, and is small and of the subserous variety, the ini-tial pains cease and there are no further pressure phe-nomena ; if it becomes submucous, distending the uterinecavity (Fig. 54), new labor-like pains appear and the leu-korrhea and hemorrhage become more profuse. Thesepains bring about a dilatation of the os uteri. (Plate 60.)If the tumor-tissue yields, the pedicle becoming long-drawn-out, the complete delivery of the mass occurs. Diagnosis.—Small intraparietal myomata, as well asdiffuse homogeneous substitutions of the endometrium byadenomyomata, are not to be recognized by bimanual pal-pation. TTe suspect their presence from the apyrexia,with initial violent boring pains, and, later, monorrhagiaand metrorrhagia. These symptoms demand the palpa-tion of the uterine cavity (after dilatation, with or withoutincision of the commissures of the os), which reveals sub-mucous or polypoid prominences, or different degrees ofdensity of the uterine wall. H
Text Appearing After Image:
DIA GNOSIS.—TEE A T3TEXT. 197 Later, the obliteration of the os uteri (Plates 60, 61,and Fig. 55) may be recognized by inspection. For differential diagnosis see page 219. Above all,pregnancy must be excluded before dilatation of the osuteri (menstruation is not absent, cervix is not so lividnor so soft). Treatment.— Prophylactic: ergotin subcutaneously(0.05 gm. daily, for months and years) to cause the tumorto contract and disappear. Ergotin also checks the hem-orrhage, as does stypticin and hydrastin—the former byexciting the involuntary muscle-fibers in the vessel-wallto contraction, the latter two through the vasomotornerves. These measures are rendered more effective by hot vag-inal irrigations (117° to 127° F., one or more liters severaltimes daily or every two hours), and, further, by depletives,especially before the period : mild laxatives, salt baths,salt inunctions, applications of alcohol. If the hemorrhages do not cease, the vagina is to befirmly packed with iodofo

Note About Images