The practice of surgery . to distinguishthe symptoms of salpingitis from those of ovaritis, especially when theovaritis is a consequence of the salpingitis. Ovaritis due to othercauses frequently may be distingviished. However, whether or not theinflammation involve the ovary, you will find the sufferer from salpingitiscomplaining of pain, dull or Ijurning, constant or remitting, and oflocalized tenderness. There may or may not be recurring rises of temr SAI-nXGITIS 323 peratiuc, for that depends largely on the involvement of the peri-toneum. Ivxcept for the fact that the focus of infection is
The practice of surgery . to distinguishthe symptoms of salpingitis from those of ovaritis, especially when theovaritis is a consequence of the salpingitis. Ovaritis due to othercauses frequently may be distingviished. However, whether or not theinflammation involve the ovary, you will find the sufferer from salpingitiscomplaining of pain, dull or Ijurning, constant or remitting, and oflocalized tenderness. There may or may not be recurring rises of temr SAI-nXGITIS 323 peratiuc, for that depends largely on the involvement of the peri-toneum. Ivxcept for the fact that the focus of infection is in the pelvis,the sym|)toms suggest strongly those of appendicitis. Moreover, it isoften impossible to distinguish sharply an acute salpingitis from achronic salpingitis, since the two constantly run into each other. Achronic salpingitis may become acute at any time, just as an acutesalpingitis may become chronic, and in most cases one looks for somes^mptoms of involvement of the uterus, such as I described in Chapter Fig. 203.—Tuberculous salpingitis. The right tube and ovary divided, showingthe extent of the disease in the ovary and in the numerous cross-sections of thetube. is the fundus of the uterus, and Ma myoma attached to it. Betweenthe uterus and myoma is seen a portion of a large sac of an encysted left tube is distended, convolute, and covered with tubercles; the fimbriated endis swollen and exhibits numerous tubercles. This is preeminently a case for extir-pation of tubes, ovaries, and uterus. (Case of Dr. C. Cone, JMms Hopkins , May, 1897, |- natural size.—CuUen.) On physical examination, which should be made bimanually, greatvarieties of conditions are found. The finger should explore both thevagina and the rectum, when one ma}^ discover all sorts of pelvic masses,from a merely thickened tube and broad ligament to a fixed and enlargeduterus, a collection of exudate filling the pelvis, fluctuating areas, andhard, porky, o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
