The diagnosis of diseases of women (1905) (14783275123)

Identifier: diagnosisofdise00find (find matches)

Title: The diagnosis of diseases of women

Year: 1905 (1900s)

Authors: Findley Palmer. (from old catalog)

Subjects:

Publisher: Philadelphia and New York, Lea brothers & co.

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

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d in theuterus or expelled. Womb stones were described by Hippocrates.Everett reported one weighing 2.04 kg. A few weighing 20 poundsare reported. Chondrification and ossification have been reported.Advanced age predisposes to this condition. 3. Fatty degeneration of fibroids following pregnancy is ofcommon occurrence. The tumor is soft and of a mottled, yellowtint. Fat droplets are seen in the muscle fibres. Such a case wasrecently exhibited by Dr. Reuben Peterson before the ChicagoGynecological Society. DIAGNOSIS OF FIBROMYOMA OF THE UTERUS 323 4. Myxomatous degeneration of fibroids is a circumscribeddegeneration of the connective tissue. Rarely is there a diffuseinvolvement of the tumor. Before cutting into the tumor it mayappear cystic. On cross-section one or more areas of degenerationare seen. The myxomatous material is glairy and translucent,containing opaque particles and a fibrillar or fibrous network. Byabsorption of the myxomatous material cystic spaces are formed. Fig. 140

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A pedunculated subperitoneal fibroid lies above the promontory of the sacrum and is toolarge to fall into the pelvis. It has drawn the uterus and vagina upward. 5. Suppuration and gangrene of fibroids is a grave condition,demanding immediate surgical interference. The usual cause ispuerperal infection. Subserous fibroids may be infected throughthe bowel. Twisting of the pedicle of a fibroid may result ingangrene. 6. Amyloid degeneration of a fibroid is described by Stratz. 324 SPECIAL DIAGNOSIS 7. Telangiectatic fibroids are of rare occurrence. They areformed either from a dilatation of the lymph or blood spaces. Thetumor is soft and may fluctuate and even pulsate. 8. Cystic Degeneration. Cysts are found in about 4 per cent,of all uterine fibroids. The subperitoneal and particularly thepedunculated forms are especially prone to undergo cystic de-generation. Sixty-three out of 70 cases collected by Heer weresubperitoneal. These cysts are usually multiple. Such cysts areprone to become

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1905

Library of Congress

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