. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. f which were to be seen the open mouths ofthe uterine glands (see Fig. 39). These glands run from the freeto the attached surface in a tortuous manner, and it is uncertainwhether they end by fluid terminations, or whether they have moredeeply a communication with bloodvessels. Fig. 40 representsthe condition observed in a young woman who died, while men-struating, from the effects of a burn, in University College Hos-pital. In other cases I have found the mucous membrane in ac-tual process of di
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. f which were to be seen the open mouths ofthe uterine glands (see Fig. 39). These glands run from the freeto the attached surface in a tortuous manner, and it is uncertainwhether they end by fluid terminations, or whether they have moredeeply a communication with bloodvessels. Fig. 40 representsthe condition observed in a young woman who died, while men-struating, from the effects of a burn, in University College Hos-pital. In other cases I have found the mucous membrane in ac-tual process of disintegration. The mucous membrane thus thick-ened appears to be shed at each catamenial period. In some casesa regular cast of the uterine cavity is thrown off every month,but this is abnormal; oidinarily it would appear that the mucousmembrane is broken up in such a manner as not to be noticed inthe discharges. The cavity of the cervix of the uterus does notpour out blood. It is pietty certain that normally the cavity ofthe body of the uterus is the main source of the menstrual bleed- FiG. ing, but the Graafian follicles probably contribute not unfrequentlyto a limited extent, Avhile in some instances of profuse menstrua-tion it is probable that a good deal of blood finds its way fromthe ovary into the uterus, and so externally. The changes in the ovary coincident with menstruation maynext be alluded to. Supposing matters take their ordinary course, 348 PATHOLOGY AND TREATMENT. the ovary produces on its surface, and periodically, maturedGraafian follicles one or more at a time, causing the ovary topresent an elevation the size of a nut-kernel, and constituted bythe follicle distended with blood and containing the ovule. Thiscondition of the follicle is present at the time menstruation next event is the rupture of this follicle and passage of itscontents into the Fallopian tube—the ovipont—provided for in themanner already described. Fig. 41 (from Dr. Farre)
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