. Transactions of the Southern Surgical and Gynecological Association. that she was engaged to be marriedand was not sure of her condition would lead her to consentto an examination. Her fiance said he would marry heranyhow, and was not particular whether she was normal ornot. She was prepared for operation and an anesthetic givenbefore the examination was made. Physical Examination. The breasts are large and full;there is abundant pubic hair. The mons veneris, labiamajora and minora, and clitoris are very fully is no trace of a hymen and in its place is a firm, thickmucous sur


. Transactions of the Southern Surgical and Gynecological Association. that she was engaged to be marriedand was not sure of her condition would lead her to consentto an examination. Her fiance said he would marry heranyhow, and was not particular whether she was normal ornot. She was prepared for operation and an anesthetic givenbefore the examination was made. Physical Examination. The breasts are large and full;there is abundant pubic hair. The mons veneris, labiamajora and minora, and clitoris are very fully is no trace of a hymen and in its place is a firm, thickmucous surface. Bimanual examination, with two fingers ofthe left hand in the rectum, and right hand pressing abovethe pubis could not detect any organs of generation. Alarge sound was passed into the bladder, its beak was turnedtoward the rectum to meet the fingers in the bowel. Nouterus could be detected in this manner. The abdomen was opened and a club-shaped appendixremoved. The Trendelenburg position was used and thepelvic structures brought clearly into view. There was. Fig. L—a, labia minora formed into a flap; b, central flap; c. strips of mucous membrane left attached.


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Keywords: ., bookcentury1900, bookd, booksubjectgynecology, booksubjectsurgery