Hid

FEBRUARY

MANUAL

OF

GYNECOLOGY

This book is the property of

COOPER MEDICAL COLLEGE,

SAN FRANCISCO, CAL

and is not to be removed from the

D. BEREY HARTADEROPE:

person or

under any prnext unelever,

LECTURER ON MIDWIFERY AND DISEASES OF WOMEN, SCHOOL OF MEDICINE, EDINBURGH; LATE

ASSISTANT TO THE PROFESSOR OF MIDWIFERY, UNIVERSITY OF EDINBURGH; LATE

PRESIDENT OF THE ROYAL MEDICAL SOCIETY, ETC.;

AND

A. H. BARBOUR, M.A., B.Sc., M.B.,

ASSISTANT TO THE PROFESSOR OF MIDWIFERY, UNIVERSITY OF EDINBURGH; LATE PRESIDENT
OF THE ROYAL MEDICAL SOCIETY

TROW'S

PRINTING AND BOOK BINDING COMPANY

201-213 East Twelfth Street

NEW YORK

Pathology, 3; Etiology, 4; Symptoms, 4; Physical Signs, 4; Progress and

Termination, 4; Diagnosis, 5; Prognosis, 5; Treatment, 5.

CHRONIC METRITIS.

6

Pathology, 7; Etiology, 8; Symptoms, 10; Physical Signs, Diagnosis, 11;

Differential Diagnosis, 11; Treatment, 12.

CHAPTER XXXI.

DISPLACEMENTS OF THE UTERUS; ANTEFLEXION; ANTEVERSION; RETROVER-

SION; RETROFLEXION

16

DISPLACEMENTS OF THE UTERUS.

16

ANTEFLEXION

20

Pathology, 20; Etiology, 22; Symptoms, 24; Physical Diagnosis, 26; Differ-

ential Diagnosis, 27; Prognosis, 28; Treatment, 28.

ANTEVERSION

33

Pathology, 33; Etiology, 33; Symptoms, 33; Diagnosis, 34; Treatment, 35.

RETROVERSION.

37

Pathology and Etiology, 37; Symptoms, 38; Diagnosis, 38; Treatment, 39.

RETROFLEXION=RETROVERSION+RETROFLEXION

Pathology, 39; Etiology, 42; Symptoms, 43; Diagnosis, 45; Differential

Diagnosis, 46; Prognosis, 47; Treatment, 48; Replacement by Bimanual,

49; with the Sound, 50; by Genupectoral Posture, 52; Retaining the Re-

placed Uterus by Pessaries, 53.

CHAPTER XXXII.

PASE

39

INVERSION OF UTERUS.

.... 61

Pathology, 61; Etiology and Frequency, 65; Symptoms, 66; Diagnosis, 67;

Differential Diagnosis, 68; Course and Results of Chronic Inversion, 71;

Prognosis, 71; Treatment, 71; Reposition, 72; Amputation, 77.

CHAPTER XXXIII.

FIBROID TUMOURS OF THE UTERUS; PATHOLOGY AND ETIOLOGY

PATHOLOGY......

Situation, 80; Structure, 81; Mode of Growth, Varieties, 83; Changes in

the Uterus, 87; Degenerative Changes, 88; Fibroid Tumours of the Cer-

vix, 89.

ETIOLOGY.

CHAPTER XXXIV.

FIBROID TUMOURS OF THE UTERUS; SYMPTOMS; DIAGNOSIS; PROGNOSIS ..

SYMPTOMS

Menorrhagia, Irregular Hemorrhages, 92; Painful Menstruation, 93; Sensa-

tions due to Size and Weight of Tumour, 94; Pressure Sympto:ns, 94;

Progress and Results, 95.

PHYSICAL SIGNS; DIFFERENTIAL DIAGNOSIS..

Of Small Fibroid Tumours, 97; of Large Fibroid Tumours, 99.

PROGNOSIS.

CHAPTER XXXV.

FIBROID TUMOURS OF THE UTERUS; TREATMENT.

MEDICAL TREATMENT

... 104

SURGICAL TREATMENT

...

Removal through the Vagina, 104; Removal through the Abdominal Walls

by Laparotomy, 108.

CHAPTER XXXVI.

FIBROCYSTIC TUMOUR OF THE UTERUS..

... 116

Pathology, 116; Symptoms, 118; Diagnosis, Differential Diagnosis, 118;

Treatment, 118.