. The diagnosis and treatment of diseases of women. Fig, 381. Uterus distended witli Menstrual Blood(Hematometra), due to atresia of the cervix. (Mont-gomery^-/rrtc^ica/ Gynecology.) much assistance in differential of the corpus uteri may becaused also by extra-uterine pregnancyand likewise by a recent pregnancy (i. e.,for a few Aveeks following labor ormiscarriage). It is caused also by edemaof the uterine wall, from adjacent in-flammation or from a tumor interferingwith the circulation or from marked dis-placement. Hard Nodules felt in the Corpus Uterimay be due to parts
. The diagnosis and treatment of diseases of women. Fig, 381. Uterus distended witli Menstrual Blood(Hematometra), due to atresia of the cervix. (Mont-gomery^-/rrtc^ica/ Gynecology.) much assistance in differential of the corpus uteri may becaused also by extra-uterine pregnancyand likewise by a recent pregnancy (i. e.,for a few Aveeks following labor ormiscarriage). It is caused also by edemaof the uterine wall, from adjacent in-flammation or from a tumor interferingwith the circulation or from marked dis-placement. Hard Nodules felt in the Corpus Uterimay be due to parts of the child in preg-nancy or to fibromyomata or to a malig-nant tumor. In rare cases an athero-matous or sclerotic process may causehardening of areas appreciable to thefinger. Also, a mass of exudate or someadherent structure may cause a hard massthat appears, on bimanual examination,to be a part of the Fig. 382. Uterus, enlarged by a collection of Pusand Gas (Pyophysometra) above an occluded cancer-ous cervix. (Kelly—Operative Gynecology.) 256 GYNECOLOGIC DIAGNOSIS Marked Tenderness of the Uterus may be caused by inflammation of the uterus,by inflammation around the uterus, by hemorrhage around the uterus, by pelvicneuralgia or by functional Hyperesthesia (hysteria, neurasthenia). Fixation of the Uterus may be due to an inflammatory mass, to a hemorrhagicmass, to old adhesions, to a new growth or to scar tissue from vaginal laceration. Abnormal Mobility of the Uterus is due to overstretching of the supports aroundit and of the pelvic floor below ii. MASS OR INDURATION In Pelvis or Lower Abdomen, Felt on Bimanual LOW in Pelvis, and to RIGHT of Cervix. A. Mass or Induration FIRM (No Fluid Felt). 1. Body of the Uterus Displaced to the Right. The mass is directly continuouswith the cervix and is about the size and shape of the body of the uterus. Theuterus can not be
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