Transactions of the Southern Surgical and Gynecological Association . Fig. 1.—Tuberculous ulcer of anterior vaginal wall (natural size).The ulcer measures approximately 6 by 4 cm. The margins which arefirm are elevated about 2 mm. above the base. The latter presents thetypical applejelly appearance of a tuberculous ulcer and on manipulationfine bleeding points are Fig. 2.— (Photomicrograph approximately 300 diameters.) Thissection taken from the margin of the ulcer presents the typical pictureof active tuberculosis. The giant cells in this section are especiallynumerous. ERNEST K. CU
Transactions of the Southern Surgical and Gynecological Association . Fig. 1.—Tuberculous ulcer of anterior vaginal wall (natural size).The ulcer measures approximately 6 by 4 cm. The margins which arefirm are elevated about 2 mm. above the base. The latter presents thetypical applejelly appearance of a tuberculous ulcer and on manipulationfine bleeding points are Fig. 2.— (Photomicrograph approximately 300 diameters.) Thissection taken from the margin of the ulcer presents the typical pictureof active tuberculosis. The giant cells in this section are especiallynumerous. ERNEST K. CULLEN 361 The clinical laboratory findings are as follows: Urineexamination: (Catheterized specimen) S. G. 1012, acid, palecolor, cloudy, no sugar, no indoxyl, no bile, slightest trace ofalbumen. The centrifugated sediment which is slight con-tains a few squamous epithelial cells numerous pus cells, butno casts or blood. Examination for tubercle bacilli wasnegative. Blood Examination: Hemoglobin 70 per cent. (Talquist),red cells 3,700,000, white cells 14,000. Differential White Cell Count: Polymorphonuclear cells,74 per cent.; small mononuclear cells, 6 per cent.; large mono-nuclear cells, 17 per cent.; transitional cells, 3 per cent. Ablood Wassermann showed a 4 + reaction. (There were noclinical manifestations of lues.) Roentgenologic Report by Dr. William A. Eva
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