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

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pecimen.) Fig. 3.—Pyosalpinx. The ostia being closed, the pus distendsthe tube. The epithelium (1) is completely destroyed; the papillae (2)are flattened ; the stroma (3), rich in round cells, is bathed in pus;and the elasticity of the tubal wall is destroyed because the muscle-fibers (4) are separated and replaced by connective tissue (6). Thesubmucous capillaries are dilated from stasis; the vessels of the mus-cular layer show a chronic inflammatory thickening. Such pus sacscontain different varieties of microbes, the virulence of which dependsupon the age of the abscess at the time of its rupture. (Original draw-ing from a specimen.) connective tissue. Contrary to what is the rule in puer-peral cases, the process very rarely extends to the uterus. Uterus (Endometritis et Metritis Acuta).—The course isdoubtful, and if progressive, it may be a very chronicafYection. Symptoms.—Bloody and mucopurulent discharge;enlargement and hypersensitiveness of the uterus (expe- o as .OS ■3
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SYMPTOMS. 119 rienced by the patient as a dull pain in the pelvis, in-creased by movement, coughing, straining, etc.); stran-gury ; diarrhea with violent tenesmus; fever (rarely, ab-scess formation). The patients soon show evidences of a severe infec-tion. They are pale and hollow-eyed; no appetite;meteorismus—pulse-rate and temperature increase; theabdomen becomes sensitive. These are all symptoms ofbeginning parametritis and perimetritis. Vaginal examination (to be most gently carried out)reveals hypersensitiveness of the vaginal vault and re-sistance behind the uterus. Rectal examination shows atumor behind or beside the uterus, the differentiation ofthe two being impossible by palpation. Anatomically, itmay be a pyosalpinx, oophoritis, perimetrosalpingitis, peri-oophoritis, or parametritis. The process may remain stationary at this point. Theintestinal coils, which roof in the pouch of Douglas, be-come adherent and wall off the exudate from the generalperitoneal cavity—periton

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