. The diagnosis of diseases of women . Secondary prolapsus uteri >A^itlT elongation of the cervix. Both,vaginal avails are completely inverted. The cervix protrudes from,the vulva. JSTeither the bladder nor the rectum are found in the pro-truding structures. FIG. Complete inversion of the uterus. DIAGNOSIS OF MALPOSITIONS OF THE UTERUS 225 loses its usual elasticity, becomes glistening, dry, and ulcers may form and show little tendency to heal. Betweenthe posterior wall of the vagina and the rectum there is not thatintimate attachment found between the bladder and vag
. The diagnosis of diseases of women . Secondary prolapsus uteri >A^itlT elongation of the cervix. Both,vaginal avails are completely inverted. The cervix protrudes from,the vulva. JSTeither the bladder nor the rectum are found in the pro-truding structures. FIG. Complete inversion of the uterus. DIAGNOSIS OF MALPOSITIONS OF THE UTERUS 225 loses its usual elasticity, becomes glistening, dry, and ulcers may form and show little tendency to heal. Betweenthe posterior wall of the vagina and the rectum there is not thatintimate attachment found between the bladder and vagina—a factwhich explains why, in prolapse of the posterior vaginal wall, therectum does not always descend with the vagina (rectocele). Descensus and prolapsus vaginae are recognized by inspection andpalpation of the vagina. Holding the labia apart the vaginal pouchwith its transverse folds is seen to bulge into the introitus. Inver-sion of the vagina is recognized by a corresponding shortening ofthe vaginal wall, together with a descent of the uterus. Displacements of the Uterus. After inspection and palpationof the vulva and vagina, the position of the uterus is to be deter-mined. The vaginal walls may be prolapsed to an unusual degreewithout altering the po
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Keywords: ., boo, bookcentury1900, bookdecade1900, bookiddiagnosisofdise00find
