Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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rvious to organisms than that of adults. Gonorrhceal Vulvitis. The gonococcus is the most frequent causeof acute vulvitis, accounting for more than 75 per cent, of cases(Jaschke). It is more frequent in young subjects for the reason givenabove. Clinically, acute gonorrhceal vulvitis is associated with urethritisand inflammation of the paraurethral glands, and not infrequentlywith Bartholinitis as well. The secretion in the acute stage is copious,purulent, and of a yellowish-green colour. From the irritating effectof the pus, warts (condylomata acu7ninata) are formed on theexternal genitals (see Figs. 141 and 142 on p. 292). In acute 337 22 338 GYNAECOLOGY cases it is generally easy to find the gonococcus in films prepared fromthe pus. Acute vulvitis is seen in its most extreme form in the vulvo-vaginitis of children. The labia, both small and large, are intenselyred, swollen (see Fig. 161), oedematous, and sore, and may becomeadherent. A false membrane may form on the labia minora. In
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Fig. 161. Vulvo-vaginitis in a Girl of 14, showing inflammatory oedema of the nymphse. this condition the vagina, urethra, and Bartholins glands may besimultaneously infected ; it causes swelling of the inguinal glandsand is accompanied with malaise and pyrexia. In cases of assault,gross traumatic lesions may be present, but in young children vulvitismay occur in the absence of a definite lesion, the gonococcus beingconveyed to the genitals on a towel or by the fingers. The sameapplies to the bacillus coli and to parasites (ascaris and oxyuris). Treatment. Vaginal douches should not be employed, but thepatient should be made to sit in a bath two or three times a day for halfan hour, and during the intervals boric lint, wrung out in hot sterile ACUTE INFLAMMATORY CONDITIONS 339 water, should be applied between the labia and over the vulva. Whenthe^acute attack has subsided the labia should be painted with a10 per cent, solution of melargen, and if urethritis be present thecanal should

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