File:Gynecological diagnosis (1910) (14591458568).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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better idea as to the pathological condition of the pelvic organsand will be in a position to advise, if necessary, etherization for acomplete diagnosis. Progressing too fast or too vigorously hasoften done great damage by lighting up dormant inflammation,rupturing adhesions, and causing hemorrhage, or squeezing pusfrom inflamed tubes. 2. Anteversion This is of little importance clinically and is to be classed withlateroposition or lateroversion. Sometimes frequency of micturi-tion is found in cases of anteversion; in this case it is due, appar-ently, to traction made on the neck of the bladder by the exagger-ated posterior position of the cervix, for the symptom is cloneaway with by elevating the fundus with a Hodge or Gehrungpessary. The diagnosis is established by the bimanual touch,the fundus being found well clown behind the symphysis pubisand the cervix high in the pelvis. The axis of the uterus coin-cides very nearly with the axis of the vagina in extreme degreesof anteversion.
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Fig. 93.—Acute Puerperal Inversion of the Uterus. (Dudley.) 239 240 MALPOSITIONS OF THE UTERUS 3. Anteflexion Anteflexion has been described at length under Retropositionwith Anteflexion. It is to be understood that this malformationof the uterus does occur without the posterior malposition. Whathas been said of the combined disorder applies equally to theflexion alone. 4. Inversion Inversion of the uterus is a partial or complete turning of theorgan inside out. It is of three sorts: (1) acute puerperal inver-sion, (2) chronic puerperal inversion, and (3) inversion caused byuterine tumors. The first sort concerns the obstetrician. Thesecond is the more usual of the remaining two forms that are seenby the gynecologist. Puerperal inversion is due to relaxation of the uterine musclesat the time of the delivery of the placenta. Coughing or sneezingmay invert a relaxed uterus; too much traction on the cord andan adherent placenta are the direct causes in some cases. Theuninverted part of

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