Chapter XV., page 244. It is enough here to counsel a thorough (Part 5)

Rectum, stricture of Subinvolution, 207 Sunstroke, anuria in, 156 Swelling of feet and legs in fistula in ano, 520 Symptoms of disease in any organ. See organ affected Syphilis. See organ affected a cause of abortion, 437 a cause of sterility, 151 menorrhagia in, 135 Table, examining, preparation of, 26 Tachycardia, in fibroids, 259 in menopause, 613 Taylor, case of late conception, 603 Tenaculum, uterine. Fig. 24, 83 Tenaculum forceps, double 85 Thornton, case of ovariotomy on woman ninety-four years old, 294 Thyroid. See Gland Tilt, E. J., cases of prolonged mensl ru- ation, 604 Tilt, table of comparative dates of cessation of menstruation in dif- ferent countries, 598 table of uterine diseases foimd during menopause, 589 views on length of dodging time, 611 Tissue, preservation of, 63 removal of, for microscopic exami- nation, 62 Torsion of uterus, 244 Touch, bimanual, diagram of, Fig. 5, 38 hindrances to, 39 structures to be felt by, 49 vagino-abdominal, 38 rectal, 50 recto-abdominal, 53 in examination of children, 556 sound, 81 vaginal, 31 vagino-abdominal, 38 Townsend, C. W., on incontinence of urine relieved by removal of rectal polyp, 579 Treatment advised, in case records, 8 Trigone, hyperemia of, 471 Trigonitis, 471 Tube, Fallopian, a carrier of infection to ovarian tumors, 318 absence of, 326 accessory, 326 anatomy of, 324 anomalies of, 326 atrophic changes in, in old age, 623 atrophy of, at menopause, 594 carcinoma of, 338 chorioepithelioma of, 339 cyst of Morgagni of, 327 diseases of, 324 in the child, 576 displacement of, 326 diverticula from, 326 elongation of, 326 embryoma of, 338 fibroma of, 338 fibromyxoma of, 338 function of, 325 hernia of, 326 infantile. Fig. 206, 562 inflammation of, 327 myoma of, 338 650 INDEX Tube, Fallopian, new growths of, 337 papilloma of, 337 polypus of, 337 retention tumors of, 332 rupture of, 336 sarcoma of, 339 tumors of, differentiated from small ovarian tumors, 298 Tuberculosis. See organ affected amenorrhea a symptom in, 419 Tubo-ovarian cyst, 334 Tumor of any organ. See organ affected rising from pelvis, outlined by ab- dominal walls, 66 Turpentine, a cause of cystitis, 467 Tuttle, J. P., on frequency of cancer of rectum, 525 Typhoid fever, anuria in, 156 Underhill, F. P., and Rand, R. F., on the urine in pernicious vomiting of pregnancy, 436 Urachus, cyst of, differentiated from ovarian tumor, 311 Uremia, anuria in, 156 menorrhagia in, 135 Ureter, absence of, 486 anatomy of, 103 anomalies of, 486 blood clot in, a cause of stricture, 489 calculus of, 490 cancer of, a cause of stricture, 489 catheterization of, 115 compression of, by fibroid, 257 development of, Fig. 71, 198 diseases of, 486 double, 486 echinococcus cyst in, a cause of stric- ture, 489 fistulae of, 492 gumma of, a cause of stricture, 489 inflammation of, 488 mucosa of, prolapse of, 491 new growths of, 493 occluded, cystic dilatation of, 487 orifice of. See Bladder, anatomy of abnormal situation of, 486 swollen, 488 urine spurting from. Fig. 52, 107 Ureter, stone in, 490 a cause of stricture, 489 stricture of, 489 tumors of, 493 valve formation in, 489 Ureteritis, 488 Urethra, anatomy of, 100 angioma of, 453 anomalies of, 444 atresia of, 445 bladder and, searching of, 106 bladder and ureters, and, examina- tion of, 107 cancer of, 455 caruncle of, 453, Fig. 184, 454 a cause of dysuria, 152 of sterility, 150 of vaginismus, 379 differentiated from cancer, 415, 455 from prolapse of muscosa, 449 development of, Fig. 71, 198, Figs. 160-162, 395 dilated and short, 444 dilatation of, 447 limits to, 448 diseases of, 444 dislocation of, downward, 109, 446 upward, 445 external, partial defect of, 444 fibroma of, 455 granuloma of, 453 inflammation of, 450 mucosa of, prolapse of, 448 mucous membrane of, prolapse of, Fig. 183, 449 mucous polyp of, 453, 455 myoma of, 455 new growths of, 453 polyp of, differentiated from pro- lapse of mucosa, 449 sarcoma of, 456 stricture of, 452 a cause of frequency of micturi- tion, 154 tuberculosis of, differentiated from cancer, 455 Urethritis, 450 a cause of dysuria, 152 of frequency of micturition, 154 INDEX 651 Urethritis, acute, 450 chronic, circumscribed, 451 diffuse, 451 Urethrocele, differentiated from dislo- cation of urethra, 447 Urination, difficult, retarded or pain- ful, 151 too frequent, 153 Urine, analysis of, in case records, 8 incontinence of, 154, 485 a symptom of abnormal opening of ureter, 487 method of collecting, in children, 578 retention of, 155 in incarceration of retroflexed pregnant uterus, 155 suppression of, 156 Urogenital sinus, Fig. 71, 198, Fig. 157, 392, Fig. 160, 395 persistence of, 393 Uterine disease, a cause of hemorrhoids, 500 influence of, on menopause, 617 symptoms of, 127 Uterine ligaments. See Ligaments, uterine Uterine organs, atrophic changes in, at menopause, 594 Uterine segment, lower, true hypertro- phic elongation of, 229 Uterus, abnormalities of axis and form of, 234 absence of, 198 adenomyoma of, 245 symptoms of, 262 anomalies of, 197 due to arrest of development, 201 due to arrest of growth, 202 anteflexion of, 240. See also Retro- position with anteflexion a cause of sterility, 150 in the little girl, Fig. 90, 230 pathological, Fig. 91, 231 anteroposition of, 229 anteversion of, 238 ascent of, 218 atrophic changes in, in old age, 624 atrophy of, at menopause, 594 congenital, 140, 203 following steaming, 286 Uterus, atrophy of, lactation, 203 non-puerperal, 203 puerperal, 203 bicornis, 200 diagram of, Fig. 74, 199 bicornute, Fig. 78, 201 pregnancy in, 433 bipartitus, Fig. 72, 199, 200 body of, cancer of, adeno-carcinoma, 269 early stage of, Fig. 112, 269 diagnosis of, 276 differential diagnosis of, 277 differentiated from fibroid, 265 sarcoma of, 279, Fig. 113, 279 cancer of, 266 a cause of hemorrhage at meno- pause, 619 diagnosis of, in general, 270 in the child, 576 leucorrhea in, 271 symptoms of, 270 cavity of, digital exploration of, 94 Kelly's method of exploration of, 94 Figures illustrating, Figs. 38-41, 94-97 cervix of. See Cervix chorioepithelioma of, diagnosis of, 283 differentiated from fibroid, 265 malignant, 280 of posterior wall, Fig. 114, 281 decidua in, in extra-uterine preg- nancy, Fig. 143, 345 didelphys, Fig. 73, 199, 200 double, with double vagina, Fig. 147, 358 fibro-cystic tumor of, 253 fibroid in anterior wall of, differen- tiated from pregnancy, 431 fibroids of, 244 a cause of delayed menopause, 604 of hemorrhage at menopause, 617 anemia in, 261 carcinoma complicating, 255 cervical, 247 classification of, 245 complications of, 255 course and development of, 251 52 INDEX Uterus, fibroids of, dangerous to life, 260 degenerations in, 252 amyloid, 254 colloid, 253 fatty, 253 hyaline, 253 myxomatous, 253 sarcomatous, 255 in differential diagnosis, 264 diagnosis and differential diagnosis of, 262 differentiated from large ovarian cyst, 309 from small ovarian tumors, 298 diseases of tubes and ovaries com- plicating, 256 edema in, 254 effect of, on distant organs and system, 258 on neighboring organs, 257 etiology of, 250 fibro-cystic, 253 frequency of, 248 gangrene in, 254 globular, filling pelvis, Fig. 109, 256 heart disease in relation to, 259 hemorrhage in, 260 in negro race, 249 interstitial, 247 diagnosis of, 263 interstitial and submucous, Fig. 104, 248 intraligamentous, 246, Fig. 105, 249 diagnosis of, 263 dysmenorrhea in, 129 leucorrhea in, 261 metastases in, 255 multiple, Fig. 102, 246 of cervix, 247, Fig. 108, 254 pain in, 261 palpitation in, 259 pathology of, 244 pedunculated or polypus, differen- tiated from prolapse, 229 in vagina. Fig. 107. 252 pregnancy interfered with by, 258 renal complications in, 257 Uterus, fibroids of, rupture of uterus in, 260 sarcoma in, 264 seedling, 251 situation of, 248 sloughing, 248 submucous, 247 diagnosis of, 264 intra-uterine, differentiated from incomplete inversion, 243 large, Fig. 106, 250 pedunculated, in vagina, differ- entiated from complete in- version, 242 subperitoneal, a cause of stricture of ureter, 489 differentiated from small ova- rian tumor, 297 subserous, 246 diagnosis of, 262 differentiated from pelvic cellu- litis, 196 side view of abdomen contain- ing large, Fig. 103, 247 suppuration in, 254 symptoms of, 260 thrombosis in, 255 ureters compressed by, 257 fundus of, height of, at various weeks of pregnancy, Fig. 130, 306 gravid, changes in, during early pregnancy, 423 hernia of, 233 horizontal section of body showing shape of cavity of, Fig. 67, 171 hyperinvolution of, a cause of steril- ity, 150 infantile, 140, 202, Fig. 204, 558 a cause of amenorrhea, 140 of sterility, 150 inversion of, 240 acute puerperal, Fig. 93, 239 and conditions simulating, Figs. 94-101, 241 diagnosis of, 240 differential diagnosis of (table), 242 differentiated from fibroid, 242, 243, 265 from prolapse, 228 lateroposition of, 229 INDEX 653 Uterus, ligaments of. See Ligaments lower segment of, softening of, in pregnancy, 425 maldevelopment of, a cause of dys- menorrhea, 129 amenorrhea a symptom of, 419 malpositions of, 215 at menopause, 620 mechanism of, 219 muscular wall of, sarcoma of, 280 non-puerperal atrophy of, 203 normal, mobility of, 49 normal position of, 43, Fig. 6, 44, Fig. 84, 216, Fig. 150, 373 polyp of, simulating prolapse, 229 polyp of, a cause of hemorrhage at menopause, 618 mucous, simulating cancer, 273 pregnant, at sixth week, diagramma- tic side view, during contraction, Fig. 178, 423 during relaxation, Fig. 177, 422 changes in shape of, during early pregnancy, 423 contractions of, 424 enlargement of, in late pregnancy, Fig. 181, 428 palpation of, in late pregnancy, 428 retroflexion and incarceration of, 432 shape of, in early pregnancy, 423 situation of, in early pregnancy, 423 six weeks', section of, Fig. 178, 424 prolapse of, 218, Fig. 87, 223 a cause of sterility, 150 acute, 218 at menopause, 620 causation of, 223 diagnosis of, 226 differential diagnosis of, 228 in the child, 562 mechanism of. 219 partial, Fig. 89, 227 pathology of, 218 symptoms and course of, 226 reconstruction of, showing shape of cavity, Fig. 64, 166 retroflexion of, differentiated from pregnancy, 431 Uterus, retroposition of, 230 with anteflexion, 231, Fig. 91, 231 diagnosis of, 232 differentiated from pregnancy, 231 dysmenorrhea in, 129 retroversio-flexion of, 234 diagnosis of, 236 etiology of, 235 mechanism of, 222, 235 retroversion of, 234, Fig. 92, 235 a cause of menorrhagia, 137 of sterility, 151 caused by an overdistended blad- der, Fig. 84, 218 rudimentary, 198 sarcoma of, 278, Fig. 113, 279 in the child, 576 septus, 200, Fig. 75, 198 souffle of, 429 subinvolution of, 207 a cause of hemorrhage at meno- pause, 618 differentiated from pregnancy, 431 supravaginal elongation of, Fig. 88, 226 torsion of, 243 transverse longitudinal section of, Fig. 68, 172 tubes, vagina, and, development of, Fig. 71,198 unicornis, Fig. 76, 199, 200 with accessory cornu, Fig. 77, 199 walls of, structure of, 167 Vagina, absence of, 356 age changes in, 356 anatomy of, 354 anterior fornix of, 354 anterior wall, tumor of, differen- tiated from cystocele, 368 appearance of, in early pregnancy, 421 atresia of, a cause of amenorrhea, 142 of dysmenorrhea, 129 of sterility, 150 acquired, 359 congenital, 357 ;ii rophic changes in, in old age, 625 atrophy of, at menopause, 595 654 INDEX Vagina, cancer of, 383 chorioepithelioma of, metastatic, Fig. 115, 282 primary, 384 secondary, Fig. 115, 282 column of, 355 condylomata of, 384 cross section of, Fig. 151, 374 cysts of, 379 in anterior wall, Fig. 154, 381 in posterior wall, Fig. 153, 380 development of, Figs. 158-161-162, 395 discharge from, normal, 143, 355. See also Leucorrhea diseases of, 354 displacements of, 366 double, 357, Fig. 147, 358 enterocele of, 371 examination of, in children, 556 fibroids of, 381 fistulse of, 384 scheme of, Fig. 155, 385 foreign bodies in, 377 garrulity of, 378 gas in, 378 hematoma of, 377 hernia of, 368, 371 differentiated from cystocele, 368 inclusion cyst of posterior wall of, Fig. 153, 380 infantile, examination of, with cysto- scope, Fig. 205, 559 inflammations of, 361 injuries of, 371 at menopause, 621 due to coitus, 376 due to falls on sharp bodies, 377 due to unskillful instrumentation, 377 etiology of, 371 longitudinal section of, showing S-shaped curve, Fig. 85, 219 malformations of, 356 myoma of, 381 new growths of, 379 palpation of, 34 posterior fornix of, 355 prolapse of, Fig. 88, 224 Vagina, sarcoma of, 381 in adults, 382 in children, 382, 570 septate, 357 stenosis of, acquired, 359 Vaginal touch. See Touch, vaginal Vaginismus, 378 a cause of dyspareunia, 146 of sterility, 150 Vaginitis, 361 a cause of sterility, 150 acute, 362 chronic, 363 condylomatous, 363 diphtheritic, 362 emphysematosa, as a cause of gar- rulity of vagina, 378 emphysematous, 364 erysipelatous, 362 exfoliative, differentiated from mem- branous dysmenorrhea, 131 gonorrheal, 363 mycotic, 364 pseudo-diphtheritic, 362 senile, 365 syphilitic, 365 tuberculous, 365 ulcerative, 364 with bacillary dysentery, 364 Valves, Houston's, 122 semilunar, of rectum, 122, 123 Vander Veer, operations on pregnant women by mistake, 417 Varicocele and varix. See Ligament, broad, and Vulva Veit, J., on chorioepithelioma, 282 on garrulity of the vagina due to a gas-forming bacillus, 378 on vaginal atresia, a cause of hema- tocolpos, 359 Vesical symptoms, 151 at menopause, 621 Vestibule, Fig. 156, 389 anatomy of, 390 Vinay, L., on goitre and the menopause, 593 on sclerosis of the ovaries in tubercu- losis, 599 Vineberg, views on lactation atrophy of uterus, 203 INDEX 655 Volkmann, on acute carcinoma of mastitis, 543 Vomiting of pregnancy, 434 Von Ott leg holders, 57 Vulva, age changes in, 391 anatomy of, 388 angioma of, 413 anomalies of, 391 at beginning of third month of fetal life, Fig. 157, 392 atrophic changes in, in old age, 625 benign tumors of, 413 cancer of, 414 chancre of, 406 differentiated from cancer, 415 chancroids of, 406 differentiated from cancer, 415 condylomata of, differentiated from cancer, 415 condylomata acuminata of, 407 condylomata lata of, 407 congestion of, a cause of pruritus, 161 development of, 392 diagram of, Fig. 156, 389 diseases of, 388 eczema of, a cause of pruritus, 161 edema of, 405 elephantiasis of, 404 fibroma of, 413 furunculosis of, differentiated from chancre, 407 gangrene of, 405 in the child, 569 gumma of, 408 hematoma of, 400 herpes of, differentiated from chancre, 407 in early pregnancy, appearance of, 421 infantile, Fig. 203, 556 inflammation of, 402 injuries of, 400 due to coitus, 401 due to direct violence, 401 inspection of, 33 itching of, 160,404 lipoma of, 413 in a child, 573 malignant tumors of, 414 Vulva, mucous patches of, 407 myoma of, 413 myxoma of, 413 neuroma of, 413 noma of, 405 in the child, 569 sarcoma of, 416 thrush of, 403 a cause of pruritus, 161 tuberculosis of, 408 differentiated from cancer, 415 in the child, 568 tumors of, a cause of sterility, 150 uncleanliness of, a cause of pruritus, 161 varicose veins of, 405 varix of, 405 a cause of pruritus, 161 venereal lesions of, 406 Vulvitis, a cause of pruritus, 161 catarrhal, 402 diabetic, 403 diphtheritic, in the child, 569 gonorrheal, 402 simple, 402 Vulvo-vaginitis in children, 566 diagnosis of, 568 symptoms of, 568 Warker, Van de, on frequency of strictures of urethra, 452 Wathen uterine dilator, Fig. 34, 92 Webster, J. C, case of wandering spleen in iliac fossa, 312 on renal complications in fibroid tumors, 257 Wertheim, views on latent gonorrhea, 182 Whites. See Leucorrhea Williams, J. W., cases of ovarian preg- nancy, 245 on etiology of extra-uterine pregnan- cy, 342 on pernicious vomiting of pregnancy, 434 Winckel, case of spontaneous healing of vesico-vaginal fistula following subsequent pregnancy, 477 Winter, cancer propaganda in East Prussia, 270 656 INDEX Winter, observations on the heart in fibroid tumors, 259 on metastases in sarcoma of the uterus, 280 Wischmann, C, case of precocious ma- turity, 564 Worry, polyuria in, 485 X-rays in diagnosis, 76 Young Girls, examination of, 25 Zappert, J., on genital hemorrhages in the new-born, 572 Zweifel, views on frequency of gonor- rhea, 179 JUL One copy del. to Cat. Div. 12 18 )*