File:The diagnosis of diseases of women (1905) (14576736528).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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e presence of the gonococcusin the secretions; this is particularly true of the long-standing cases.When a leucorrhoeal discharge appears shortly after marriage, andwhen in addition to leucorrhoea there is burning on urinating andinfection of the urethra and glands of Bartholin, little doubt canbe entertained as to the nature of the infection. No other formof endometritis causes such profuse discharge. 288 SPECIAL DIAGNOSIS 6. Decidual endometritis is a term applied to the inflammationof the endometrium of pregnancy. The lesion can only be sus-pected during pregnancy. A positive diagnosis is made by a micro-scopic examination of the decidua after the expulsion of the foetus.Gonorrhoea is the usual cause. The symptoms are hemorrhage,which varies in amount and may continue throughout pregnancy;leucorrhoea of a purulent character, less often serous, sometimesknown as hydrorrhoea gravidarum; and pain of a cramping orbearing-down character. The leucorrhoeal secretion ceases in the Fig. 113
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Uterus from a patient dying on the tenth day from a mixed infection—streptococcus and colon bacilli. (Jewett.) latter half of pregnancy when the decidua reflexa and vera unite.Decidual endometritis may arise previous to pregnancy and is oneof the potent causes of abortion. (See Plate XXXVIII.) 7. Puerperal endometritis occurs in the puerperium as the resultof instrumental or digital infection. It is not infrequently of gonor-rhoeal origin. 8. Postabortive endometritis follows abortions usually as the resultof instrumental or digital infection. Cl ■® ■■ e.** ^*e>B© ., ^ ^ ft, . ^^^ ® i; •^ ^ .V ^05^ ^^ u ^^^. « * is ■^ O ® S ■© f •-. -■■ 0 ©^ © £>-• . ^ 0 0) -3 ■ ^ «J 4 « c/) ^ ® « ^ 6 @ ■®^ 0 ^ fi^ ^ «4 11 0 ^ii^n 4 S > o .:. ^ V^/ 6®^ ,8 .7 i. u f v.- ^ ^ $ 03 e I. .«, 3 & E0 1 S «> S (3;iLi ^ **,.. «■? x: e i r e o O © 9 V © ENDOMETRITIS 289 9. Exfo

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