The diseases of women : a handbook for students and practitioners . sudden discharge of mucous fluid. In the case ofcomplete retention the fluid may be watery or viscid ; oc-casionally it resembles the contents of a ranula. Symptoms and Course.—The patient complains chiefly ofdiscomfort, sometimes of pain. The inconvenience may befelt in walking or sitting, whilst the pain may be a constantaching due to distention, or take the form of dyspareunia. An inflammatory condition may be present from the firstas a complication of gonorrhoea. Pus is then found exudingin small drops from the duct-orific
The diseases of women : a handbook for students and practitioners . sudden discharge of mucous fluid. In the case ofcomplete retention the fluid may be watery or viscid ; oc-casionally it resembles the contents of a ranula. Symptoms and Course.—The patient complains chiefly ofdiscomfort, sometimes of pain. The inconvenience may befelt in walking or sitting, whilst the pain may be a constantaching due to distention, or take the form of dyspareunia. An inflammatory condition may be present from the firstas a complication of gonorrhoea. Pus is then found exudingin small drops from the duct-orifice; later this tends toclose up, and abscess results. IOO DISEASES OF WOMEN. A simple cyst is fairly well differentiated from the sur-rounding structures; but if suppuration sets in, the cyst-walls become thickened and infiltrated, and the distinc-tion between them and surrounding tissues is an intermitting cyst is examined during its stages ofcollapse, the gland itself may be felt, between the finger in Vestibular bulb. Bartholin s Fig. 29.—The right labium majus dissected to show Bartholins gland and its duct (semi-diagrammatic). the vagina and the thumb outside, as a little mass the sizeof a pea or small bean. Diagnosis.—The cyst presents a characteristic pear-shapedswelling, occupying the most dependent part of the labiummajus, the narrow end of the swelling being uppermost. DISEASES OF THE VULVA. IOI It is only when it gets large that it involves the upper partof the labium. In chronic cases the orifice is readily seenas a small pit in the angle between the hymen and the la-bium minus (Fig. 29). The lesser lip is not affected whenthe cyst is small; when large, it is stretched and flattenedover the swelling. Suppuration is readily recognized bythe much greater pain, the redness of the skin and mucousmembrane, and the heat of the part. Three conditions require to be differentiated from aBarthoiinian cyst or abscess: (a) Hczmatoma.—The swe
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