The practice of obstetrics, designed for the use of students and practitioners of medicine . y may be of assistance. (8)Cancer of the cervix may be a cause ofhemorrhage during pregnancy, andhas been mistaken for placenta prae-via. The diagnosis will rest upon thecharacteristic cauliflower appearance,when it is present; upon the fetid dis-charge; and upon the exclusion of other sources of hemorrhage, such as placentapraevia, cervical erosions, and cervical polypus. The diagnosis must, of course, beconfirmed by microscopic examination. (9) Malignant disease of the vagina is notcommon, and when i
The practice of obstetrics, designed for the use of students and practitioners of medicine . y may be of assistance. (8)Cancer of the cervix may be a cause ofhemorrhage during pregnancy, andhas been mistaken for placenta prae-via. The diagnosis will rest upon thecharacteristic cauliflower appearance,when it is present; upon the fetid dis-charge; and upon the exclusion of other sources of hemorrhage, such as placentapraevia, cervical erosions, and cervical polypus. The diagnosis must, of course, beconfirmed by microscopic examination. (9) Malignant disease of the vagina is notcommon, and when it does occur is usually secondary to cancer of the and a foul-smelling discharge are common symptoms. There maybe a papillary swelling of the posterior wall, or the vaginal walls may be generallyinfiltrated and the vagina constricted. The inguinal glands are usually infil-trated. (10) Apoplexy of the placenta has already been discussed; if slighthemorrhage occurs and placental apoplexy is suspected, the treatment is, ofcourse, that of threatened abortion (see page 357).. Fig. 505.—The Metrorrhagia of Preg-nancy. Internal concealed hemorrhagefrom the separation of a normally situatedplacenta, and also hemorrhage from theseparation of a central placenta praevia. PART Labor* I. THE PASSAGES. I. The Bony Pelvis. (Page 375.) (I) The Bones. (2) The Pelvic Joints. (3) Internal Surface of Pelvis. (4) The False Pelvis.(5) The True Pelvis. (6) The Pelvic Inlet. (7) The Pelvic Cavity. (8)Pelvic Outlet. (9) Table of Pelvic Measurements, (a) External; (b) In-ternal. (10) Pelvic Planes, (a) Inlet; (b) Cavity; (c) Outlet. (11) PelvicAxes, (a) Inlet; (b) Cavity; (c) Outlet. (12) Comparison of DifferentPelvic Diameters, Circumferences, Planes and Angles. (13) Factors In-fluencing Size and Shape of Pelvis: (1) Individual; (2) Sex; (3) Age, Infan-tile and Antepubic. (14) Functions. 2. The SOFT Tissues OF THE Pelvis.(Page 393.) Soft Parts. (1) Muscles. Psoas
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
