. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. hagia, frequent mic- turition, painful and difficult defecation, sterility andabortion, symptoms of chronic pelvic peritonitis, painand burning in the pelvis, and, finally, numerous second-ary nervous and reflex symptoms. Leucorrhcea and menorrhagia are due to chronic in-flammation of the mucous membrane, which is causedby the condition of passive congestion of the wholeuterus, the result of the displacement. Dysmenorrheais probably owing to the same cause. Recta
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. hagia, frequent mic- turition, painful and difficult defecation, sterility andabortion, symptoms of chronic pelvic peritonitis, painand burning in the pelvis, and, finally, numerous second-ary nervous and reflex symptoms. Leucorrhcea and menorrhagia are due to chronic in-flammation of the mucous membrane, which is causedby the condition of passive congestion of the wholeuterus, the result of the displacement. Dysmenorrheais probably owing to the same cause. Rectal disturbanceresults from the proximity of the tender fundus at stool often presses the fundus against therectum, so that it acts like a valve and obstructs the rec-tum. Frequent micturition is due to traction on thebladder, caused by malposition. Sterility in an uncomplicated case of retroversion isdue to the unfavorable position of the cervix and to thediseased condition of the mucous membrane. Abortionis due either to diseased mucous membrane being unfa-vorable for the development of the ovum, or to the fact. Fig. 4311.—Retroflexion of the Uterus from Anterior Fixation of theCervix. (Schultze.) that, as the uterus grows it cannot rise out of the pelvis,and, becoming congested or even strangulated, expels itscontents. Difficulty in walking is not easy to explain, as theuterus does not press directly on the nerves. It must,therefore, for the present be classed under the reflexphenomena, with gastric derangement, etc. Diagnosis.—By vaginal examination the cervix is foundlow down and pointing in the line of the axis of thevagina, or even upward. The fundus is felt in the pos-terior vaginal cul-de-sac, continuous with the cervix, andbetween the two is found a sulcus, more or less marked,according to the degree of flexion. On bimanual exami-nation the fundus is absent from its normal forward po-sition, and in a thin patient can be felt lying backward,low down u
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
