. Operative gynecology. n the tube pre-sents a nodular appearance from separateaccumulations in the isthmus, the afEection istermed a salpingitis isthmica no-dosa. This form of salpingitis is most fre-quently seen in gonorrheal affections (seeFig. .385). Symptoms.—The symptoms produced bythe presence of pus in the ovaries, tubes,and surrounding pelvic tissues vary widelyaccording to the stage of the disease and tothe variety of infecting organisms. Duringthe acute stage, lasting a week or longer, the patient often suffers iatense pain ; she lies in bed with knees drawn up and ananxious express


. Operative gynecology. n the tube pre-sents a nodular appearance from separateaccumulations in the isthmus, the afEection istermed a salpingitis isthmica no-dosa. This form of salpingitis is most fre-quently seen in gonorrheal affections (seeFig. .385). Symptoms.—The symptoms produced bythe presence of pus in the ovaries, tubes,and surrounding pelvic tissues vary widelyaccording to the stage of the disease and tothe variety of infecting organisms. Duringthe acute stage, lasting a week or longer, the patient often suffers iatense pain ; she lies in bed with knees drawn up and ananxious expression of face. The elevated temperature, quickened pulse, andlocal tenderness all point to an inflannnation localized in the pelvis. From thegeneral tenderness and tympany often present, the physician, however, is apt todraw the erroneous conclusion that there is a general peritonitis. In gonorrheal cases the pelvic inflammation may be preceded byan acute inflammation of the urethra, vulva, and vagina, which may then be. i jS4— \bscF-! Ot IHi, 0\ MvT DeEP Dowv IN THE Center, Lokpis jNiorumAND Corpus LiTEUM and Corpora Fi-brosa IN THE Surrounding Capsule ofOvarian Substance. JIarcii 29, Size.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal