Upon the constitutional causes of uterine catarrh : with notes of personal observations. / A graduation thesis by Mary Edith Pechey presented to the Medical Faculty of the University of Bern ; and accepted by the Faculty on the report of Dr. Peter Muller.

  • Pechey-Phipson, Edith, 1845-1908.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Upon the constitutional causes of uterine catarrh : with notes of personal observations. / A graduation thesis by Mary Edith Pechey presented to the Medical Faculty of the University of Bern ; and accepted by the Faculty on the report of Dr. Peter Muller. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    5/32 (page 3)
    SYMPTOMS. tlic case with young girls sufforing at the same time from anaemia or chlorosis. A digital examination may reveal one of several eonditions. In one case the cervix is swollen and puffy and tender to the touch, and the os uteri is normal in size and position, but has a glairy plug of mucus hanging from it. On introducing a Tergu- son’s speculum, this plug, which is like unboiled white of egg, is found to be so tenacious that it is with difficulty removed by a mop of tow or a probe covered with cotton wool. When cleared away, the interior of the cervix appears swollen, and is more or less pain- ful when touched with the probe. The exterior of the cervix is generally dark red or purplish. Sometimes hard warty excres- cences are felt and seen. In another case the cervix feels hard and roughened by granulations. The os is wide open, no mucus plug filling the aperture, and the finger can be passed as far as the os internum. The speculum shows a red granulating surface on both the interior and exterior of the cervix, often bathed in a thin colorless fluid. The lips of the os are everted, and the rugte of the interior are plainly seen, but appear to be divested of their epithelium; the os internum is normal in size; bimanual manipu- lation shows the uterus to be normal in size and position, slightly heavy, perhaps, whilst the touch of the finger against the raw cervix gives considerable pain. In again another class of cases, the os and cervix may be normal, or perhaps rather flabby and puffy to the touch, pressure gives pain, the uterus is rather enlarged, and the patient complains of a constant discharge of a thin, watery, purulent fluid, sometimes (inged with blood. The speculum may show nothing abnormal except a congested look of the cervix, but the probe passes readily through the os internum, generally without giving pain until it impinges on the fundus, when the pain is rather severe. Eotation of the probe shows the cavity of the uterus to be enlarged and the walls tender. On removing the instrument it is covered with a thin liquid of offensive odour ; sometimes the tip is stained with blood from the mucous membrane of the fundus. The two first cases are different forms of what is known as Cervicitis, Endocervicitis, chronic cervical Endometritis, or chronic