A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . andcervix of the uterus are both usually affected about alike;but in some instances the fundus alone is affected, the cervixbeing normal. Where the cervix alone is enlarged the dis-ease is termed hypertrophy of the cervix, and is treated ofseparately by most authors. I shall follow the usual plan ofnomenclature, and intend that the reader shall understandthat by hypertrophy of the uterus we mean either enlarge-ment of the whole organ or the fundus. Symptoms. The symptoms characteristic of hypertrophy
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . andcervix of the uterus are both usually affected about alike;but in some instances the fundus alone is affected, the cervixbeing normal. Where the cervix alone is enlarged the dis-ease is termed hypertrophy of the cervix, and is treated ofseparately by most authors. I shall follow the usual plan ofnomenclature, and intend that the reader shall understandthat by hypertrophy of the uterus we mean either enlarge-ment of the whole organ or the fundus. Symptoms. The symptoms characteristic of hypertrophy, we can onlypositively ascertain by the aid of the uterine sound, whichwill show an elongation of the entire uterine canal; and atthe same time we note the absence of elongation of thecervix uteri. Besides this distinctive symptom, we have thickening of the wallsof the uterus, to be de-termined by pressingone hand above thepubis, while the soundis introduced with theother to the the disease af-fects both the bodyand cervix7we feel thecervix thickened and enlarged in all direc-. Fig. No. 65—Sub-involution, with Procidentia ofthic Uterus. tions, but more promi-nently in a lateral di-rection, though occasionally it is also much elongated. Inintroducing the sound, the expert notices the internal open-ing of the cervical canal into the body of the uterus by itsmore contracted condition; and if we withdraw the sound, SUB-INVOLUTION OF THE UTERUS. 711 and observe the length of the cervix, and again measure thecervix and body together,*we can determine the relative en-largement of both or either, as the case may be. In theseeases there is usually a feeling of weight in the pelvis, abearing down sensation often in both back and boAvels. Def-ecation is usually difficult; and frequently dysuria is com-plained of. Usually a leucorrhoeal discharge is present,which stains the linen worn a yellow color, though it mayappear white as it emerges from the vaginal orifice. Usuallyin
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishere, booksubjectwomen
