. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. is nodischarge. At the time of the next period these disturb-ances are somewhat accentuated, and, as the fluid accu-mulates, gradually change to suffering, which is expe-rienced now during the inter-menstrual period as tumor produces pain and a feeling of weight in thepelvis, and by pressure or traction upon the bladderand rectum interferes with micturition and is sometimes, too, no little constitutional disturb-ance. The amount of fluid
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. is nodischarge. At the time of the next period these disturb-ances are somewhat accentuated, and, as the fluid accu-mulates, gradually change to suffering, which is expe-rienced now during the inter-menstrual period as tumor produces pain and a feeling of weight in thepelvis, and by pressure or traction upon the bladderand rectum interferes with micturition and is sometimes, too, no little constitutional disturb-ance. The amount of fluid and the consequent size ofthe tumor determine in large part the intensity of suf-fering, which is also influenced by the general conditionof the patient. Usually, after menstrual molimina have been noticedfor three successive months, a tumor begins to be appa-rent, although it may not be noticed until a much laterperiod, and this swelling gradually enlarges until itbulges at the vaginal inlet and causes a perceptible in-crease in the size of the abdomen. Certain conditionspreviously described may however, retard its develop-. Vol. VII.—37 Fig. 4491.—Excentric Hypertrophy. (Hart and Barbour.) ment, and the sac may never attain very great propor-tions. If menstruation has never appeared and the accumula-tion of mucus has not been excessive, it may be thatfutile or unsatisfactory attempts at intercourse first re-veal the existence of an atresia. Yet if the atresia beelastic or high-seated, repeated efforts at cohabitationultimately form a fairly roomy canal, or, if the dia-phragm be low or unyielding, intercourse may be car-ried on through the urethra or anus. It is extraordi-nary how greatly the urethra may become dilated underthese circumstances, and it is still more singular that in-continence of urine so seldom results. Occasionallysterility first induces a patient to seek medical advice. Spontaneous rupture of the occluding membrane andevacuation of the retained fluid ar
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
