File:The diagnosis and treatment of diseases of women (1907) (14761730326).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
P Fig. 611. A Necrotic Fibroid Perforating the Uterine Wall. Same specimen as shown in Fig. 610.The specimen consists of the uterus and tumor removed by total hysterectomy. The patient recovered.The Perforation here shown was covered by adherent omentum. As soon as the omental adhesionswere separated, pus from the suppurating bed in which the necrotic mass lay poured into the peritonealcavity. The tumor was large and the perforation was at the top of the mass, near tlie umbilicus. SYMPTOMS 631 troublesome pressure on the bladder or rectum or pelvic blood vessels. In somecases there is marked displacement of the bladder (Fig. 615). c. The changes in distant organs concern principally the heart and the kidneys.These changes are often serious. They are mentioned at some length below, inconsidering the clangers from long-standing fibroids (see page 650).
Text Appearing After Image:
Fig. 612. A Large Cystic Fibroinyoma. (Kelly—OperaiiceGynecology.) SYMPTOMS AND SIGNS.Symptoms. The symptoms given by the patient are, in the usual order of their appearance,(1) menorrhagia, (2) leucorrhoea, (3) pressure symptoms, (4) pain and (5) a lumpin the lower abdomen. I. Menorrhagia. This is usually the first disturbance noticed, particularly in 632 FIBROMYOMA OF THE UTERUS submucous and interstitial growths. There is much variation in the menstrualdisturbance. Usually the flow is increased, but sometimes it is diminished.Emmet, in a series of 216 cases, found the menstrual flow decidedly increased in50%, unchanged in 20%, lessened in 16% and irregular in 13%.

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