Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . Goodeirs speculum. venous hyperemia of subinvolution; or it may, indeed, be caused by thepressure of a too tight speculum. A mottled appearance, small, yellow,Eemi-opaque dots scattered over the pinksurface, show occluded follicles, retentioncysts, so-called ovula Nabothi. The ever-sion of the bright red and rugous cervicalm ucosa by the circular pressure of the spec-ulum should not be mistaken for an ero-sion or ulce


Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . Goodeirs speculum. venous hyperemia of subinvolution; or it may, indeed, be caused by thepressure of a too tight speculum. A mottled appearance, small, yellow,Eemi-opaque dots scattered over the pinksurface, show occluded follicles, retentioncysts, so-called ovula Nabothi. The ever-sion of the bright red and rugous cervicalm ucosa by the circular pressure of the spec-ulum should not be mistaken for an ero-sion or ulceration of the cervix; thediagnosis is easily made by slightly with-drawing the speculum when the evertedcervical mucosa will become reinverted,and the red surface disappear, while anerosion remains unchanged. It is not al-ways easy, however, to differentiate be-tween these two conditions, when thereis a deep laceration of the cervix, the lipsof which are so much everted and hyper-plastic (like a split celery-topâGoodell),that they cannot be included in the speculum; all we see then, is a large,raw-looking surface entirely filling the opening of the speculum, and look-. Fig. 39.âCuscos speculum.


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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology