. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 27.— Cradle pessary in position. (Graily Hewitt.) This division is not arbitrary. In the first degree theuterus is generally healthy, except that it comes lower thanit ought to. Elongation of cervix.—In the second stage four othermorbid changes are brought about: (a) (Edema. The cervixis embraced by the vulval orifice; and the effect of this is toobstruct the return of blood from the part outside whichbecomes swollen and oedematous (Fig. 30). (b) Change in themucous membrane. Evaporation takes place from the exposedsu
. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 27.— Cradle pessary in position. (Graily Hewitt.) This division is not arbitrary. In the first degree theuterus is generally healthy, except that it comes lower thanit ought to. Elongation of cervix.—In the second stage four othermorbid changes are brought about: (a) (Edema. The cervixis embraced by the vulval orifice; and the effect of this is toobstruct the return of blood from the part outside whichbecomes swollen and oedematous (Fig. 30). (b) Change in themucous membrane. Evaporation takes place from the exposedsurfaces of vagina and cervix, which become dry and scaly, more 118 DISEASES OF WOMEN. like a patch of psoriasis than either healthy skin or healthymucous membrane, (c) Ulceration. The exposed part issubject to friction from the patients thighs and clothing; and. Fig. 28.—Descent of pelvic floor, with slight (first degree of) prolapse. (Frommeasurements.) the result of this, together with the obstructed circulation, isulceration; a depressed granular surface secreting pus andcovered with granulation tissue instead of epithelium ; not anew growth of gland tissue like a granular erosion. Some-times these ulcerations are covered with a diphtheritic-looking UTEUIXE DISPLACEMENTS: PROLAPSE. 119 pellicle, (d) Elongation. There is jet another change to benoticed (Fig. 31). Most cases of prolapse of the uterus begin withprolapse ot the vagina. The anterior wall of the vagina firstdescends, and drags down the cervix uteri. The body of the
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