Gynecological diagnosis and pathology . sually a definite history of suddenonset. The first symptom is a feeling of scalding in the region of the AFFECTIONS OF THE VULVA 207 urethra] orifice. This is followed by swelling of the labia and disc fori in walking. There is a free purulent discharge. < In examination at thisstage the labia majors arc osdematous and moist. The labia minora maybe greatly .swollen and almost translucent in appearance. The vestibule and tl ifice of the urethra are injected and all the parts are covered with purulent discharge. As the acute stage passes oil, the disch
Gynecological diagnosis and pathology . sually a definite history of suddenonset. The first symptom is a feeling of scalding in the region of the AFFECTIONS OF THE VULVA 207 urethra] orifice. This is followed by swelling of the labia and disc fori in walking. There is a free purulent discharge. < In examination at thisstage the labia majors arc osdematous and moist. The labia minora maybe greatly .swollen and almost translucent in appearance. The vestibule and tl ifice of the urethra are injected and all the parts are covered with purulent discharge. As the acute stage passes oil, the dischargebecomes thinner and less abundant, The oedema diminishes, hut docsnot entirely disappear for a considerable time. As a rule there is infectionof the urethral mucous membrane, so that pus can he squeezed out at theorifice when the urethra is compressed from above downwards by thefinger in the vagina. Abscess of the Bartlioliniaii gland is a common complication ofgonococcal vulvitis, though it also arises from suppuration of a simple. Fie;. 197.—Abscess of the Bartholinian Gland. cyst. The condition may be uui- or bi-lateral. The infection extendsalong the duct of the gland ; as the result of the inflammation, the orificebecomes occluded and an abscess forms. It is usually superficial, pro-ducing a swelling on the inner aspect of the labium majus in its posteriorthird (tig. 197), intensely painful, especially on walking and sitting. Thediagnosis is made from the situation of the swelling, from the intense painwhich it produces, from the redness and cedema over it, and from thefluctuation. Pruritus Vulvae.—This irritable condition of the external genitals isa symptom rather than a disease, though there may be certain changesin the nerve endings (fibrosis) forming a distinct pathological is produced by any irritating discharge from the vagina as in carcinoma,senile vaginitis, or even simple leucorrhcea. It occurs in diabetes—dueto irritation from the sugar in
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
