. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. 15, copied from Dr. Farresdrawing, shows the extent to which the abbreviation of the vaginalportion proceeds at the eighth month of pregnancy. This shortening becomes useful as diagnostic of pregnancy whenthe patient is under observation for some months, and it can beascertained from time to time that a progressive shortening is DIGITAL EXAMINATION OF THE OS UTERI. 203 actually taking place. If the other signs present be not againstpregnancy, this is one of thestrongest proofs in its favor. Fig.
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. 15, copied from Dr. Farresdrawing, shows the extent to which the abbreviation of the vaginalportion proceeds at the eighth month of pregnancy. This shortening becomes useful as diagnostic of pregnancy whenthe patient is under observation for some months, and it can beascertained from time to time that a progressive shortening is DIGITAL EXAMINATION OF THE OS UTERI. 203 actually taking place. If the other signs present be not againstpregnancy, this is one of thestrongest proofs in its favor. Fig. 15. Enlargement of the uterus andsoftening of the os uteri wouldunder such circumstances be as-sociated with it. The vaginalportion m^ay be found actuallyshortened from several othercauses — previous pregnancies,dislocation of the uterus upwardsby ovarian tumors, distension ofuterus by large polypus or by fluid, as in cases of hydrometra, also from dragging of the uterusupwards by large fibrous tumors of the uterus. In cases of extra-uterine pregnancy, the shortening is wanting. (Kiwisch.). ENLARGEMENT OF THE OS UTERI AND VAGINAL PORTION OF THE CER-VIX, ASSOCIATED WITH A FISSURED, IRREGULAR, AND INDURATEDCONDITION OF THE PART. It must be premised that the cases to be considered under thishead do not include those in which there is any considerableincrease in size of the vaginal portion ; these latter will be moreproperly considered under the head of tumors of the vaginal por-tion. We here enter on a question of exceeding practical interest andimportance, viz., the diagnosis of cancer of the uterus, in its earlystage, from certain other conditions which may produce somewhatanalogous physical alterations in the os and cervix uteri, and v/hichmay give rise also to symptoms more or less resembling those wit-nessed in the early stages of this justly dreaded disease. A fis-sured, irregular, indurated, and enlarged condition of the vaginalportion of the uterus and of the lips of th
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