. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. dened not unfrequent condition of the os uteri in cancer is presenceof a hard, smooth, sharply-defined surface, just as if a piece hadbeen actually removed by the knife, leaving the edges well a condition is represented in Fig. 16, showing at one part ofthe OS nodular projections, at another the peculiar condition justdescribed. When you feel, says Sir J. Simpson,* a roughirregular excavated or anfractuous ulcer seated on a hardenedbase, and surrounded by hardened tissue
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. dened not unfrequent condition of the os uteri in cancer is presenceof a hard, smooth, sharply-defined surface, just as if a piece hadbeen actually removed by the knife, leaving the edges well a condition is represented in Fig. 16, showing at one part ofthe OS nodular projections, at another the peculiar condition justdescribed. When you feel, says Sir J. Simpson,* a roughirregular excavated or anfractuous ulcer seated on a hardenedbase, and surrounded by hardened tissue, cancer is process of ulceration may be found to have extended to the * Med. Times and Gazette, Jan. 15, 1859. DTGITAL EXAMINATIOlSr OF THE OS UTERI. 209 rectum, in which case faeces and flatus pass from the vagina to thebladder, occasioning involuntary micturition, or to both; in thelatter case the rectum and bladder open into the common cloaca,resulting from the destructive process which has noAv been goingon. The destructive process may have affected one side of the os, Fig. the other only being as yet enlarged, and denser and firmer thanusual. It is not uncommon to find fungous softish masses, whichbleed when touched, growing from the already ulcerated ulcerative stage of the disease is almost universally charac-terized by the presence of an offensive leucorrhoeal discharge, thisdischarge becoming tinged with blood after examination or afterexertion. There is a general failure of the strength of the pa-tient, emaciation, want of sleep, and disturbances of the digestiveorgans, shown by nausea, vomiting, &c.; and, what is important,there occurs from Aveek to week perceptible increase in the inten-sity of these symptoms, often a very rapid one ; the skin of thepatient has in many cases a remarkable straw-colored tint; thereare lancinating pains, severe in character, felt in the uterine re-gion : at this period, also, pains depending on pressure o
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