. The diagnosis of diseases of women . ing way in the pelvis, and this is immediatelyfollowed by hemorrhage. The loss of blood may result fatally, ormay be limited in amount and merely prolong the menstrual the intervals of the bloody flow there is a profuse serous orseropurulent discharge. Partial inversion may occasion no symp-toms and may escape notice. The functions of the bowel andbladder are disturbed, and general physical exhaustion follows. Under favorable conditions for making a bimanual examinationit is possible to demonstrate by the hand over the abdomen or inthe rectum the
. The diagnosis of diseases of women . ing way in the pelvis, and this is immediatelyfollowed by hemorrhage. The loss of blood may result fatally, ormay be limited in amount and merely prolong the menstrual the intervals of the bloody flow there is a profuse serous orseropurulent discharge. Partial inversion may occasion no symp-toms and may escape notice. The functions of the bowel andbladder are disturbed, and general physical exhaustion follows. Under favorable conditions for making a bimanual examinationit is possible to demonstrate by the hand over the abdomen or inthe rectum the absence of the fundus and in its place a funnel-shaped depression. By the fingers in the vagina the inverted fundus DIAGNOSIS OF MALPOSITIONS OF THE UTERUS 235 Fig. 83 The inverted uterus U, lying in the vagina V, is cut open to show the peritoneal sac, whichdoes not contain the ovaries 0. Bristles are passed into the uterine orifice of the , broad ligament; r, r, round ligament; T, T, tubes. (Hart and Barbour.) Fig. 84 Fig. 85.
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