UTERUS AND ITS APPENDAGES. 



FALLOPIAN TUBE (continued). 



Abnormal Anatomy of the Fallopian Tube. 

 defect and imperfect development, 614. 

 peculiarities of construction, 615. 

 displacements, 616. 

 obliteration of the canal, 617. 

 hyperaemia ; inflammation 617. 

 collections of fluid within the tube ; blood ; serum; 



pus, 617. 

 cysts, 620. 



fibrous tumours, 620. 

 tubercle ; cancer, 620. 

 rupture of the tube walls, 620. 

 Fallopian tube gestation ; various forms, 620. 



UTEUUS. 



Normal Anatomy. 



.-nii.ii i. .11 and position, 623. 

 form, 624. 



dimensions and weight, 6'24. 

 regional divisions ; fundus ; body ; cervix, 62-1. 

 external surface, 626. 



internal surface, and cavities of the body and cer- 

 vix, 6'J6. 

 structure and arrangement of the tissues composing. 



the body of the uterus, 630. 

 peritoneal coat, 631. 

 miilille or muscular coat ; composition; course 



of the muscular fibres, 631. 

 mucous or deciduous coat ; composition, 635, 

 utricular glands or follicles, (530. 

 structure and arrangement of the tissues composing 



the cervix uteri, 638. 

 muscular coat, 638. 

 mucous coat ; epithelium, 638. 

 papillae, 639. 

 mucous follicles, 640. 

 blood-vessels of the uterus, 640. 

 lymphatics, 641. 

 nerves, 641 . 



Development and Metamorphoses of the Uterus at 

 different periods of Life. 



a. origin of the uterus, and its condition during 



foetal life, 642. 



b. the uterus from the time of birth to puberty, 



643. 



c. the uterus during menstrual life, 644. 



tl. the uterus during gestation ; the gravid or fully 



developed uterus, 644. 

 size and weight, 645. 

 alterations during gestation in the form of the 



body and cervix uteri, 645. 

 position, actual and relative, of the uterus 



during gestation, 647. 

 alterations in the special coats and tissues, 



ti49. 



the peritoneum, 649. 

 the muscular coat, 649. 

 the blood-vessels, 651. 

 nerves ;' the question of enlargement of 

 the uterine nerves during pregnancy, 

 651. 



mucous or lining membrane of the uterus; 

 development into the decidua ; decidua 

 vera and reflexa, 652. 

 histology of the decidua, 657. 

 e. the uterus after parturition, 658. 



the process of involution of the gravid uterus, 



658. 



changes in dimensions and weight, 658. 

 metamorphosis ami restoration of the compo- 

 nent tissues, 659. 



/. the uterus after the menstrual epoch ; senile 

 atrophy or involution of the uterus in advanced 

 life, 661. 

 Functions of the Uterus. 



a. the office of the uterus in menstruation, 662. 

 periods of duration and recurrence of this 



function, 662. 

 quantity, 663. 



nature of the catamenial discharge, 663. 

 composition of the menstrual fluid ; analysis, 



663. 



microscopic examination, 663. 

 the unmixed menstrual fluid ; analysis, 664. 

 source of the menstrual flux, 665. 

 the means by which the blood escapes during 



healthy menstruation, 665. 

 the purpose of menstruation, 666. 

 the relation of this function to the maturation 



and emission of ova examined, 667. 

 the purpose of the flux, 670. 

 It. the office of the uterus in insemination, 671. 



c. the office of the uterus in gestation, 672. 



d. the office of the uterus in parturition, 672. 



general sketch of the labour process, 672. 

 the peristaltic action of the uterus, and its 



cause, 673. 

 the rylhmic action of the uterus, and its cause, 



674. 

 influence of the different nervous centres upon 



the uterus in parturition, 675. 

 the exciting cause of labour, 767. 



UTKRUS (continued).' 



Abnormal Anatomy of the Uterus. 

 defective development, 678. 



1st class, congenital defects, 678. 



the various abnormal forms of the uterus, 

 arising from imperfect coalescence 

 of the primitive uterine halves (com- 

 monly termed double uterus), ar- 

 ranged in four groups: 

 group I. uterus bipartitus, 678. 

 group II. uterus unicornis, 679. 

 group III. uterus bicornis, 679. 

 group IV. uterus bilocularis, 680. 

 2nd class, incomplete development at the time 



of puberty. 



the pre-pubertal uterus, 681. 

 anomalies of form of the uterus, 682. 

 antiflexion, 682. 

 retroflexion, 683. 

 lateral inflexion, 683. 

 anomalies of position of the uterus, 683. 

 obliquity, 683. 



anti- and retro-version. 683. 

 hernia of the uterus, 684. 

 prolapsus, 684. 

 elevation, 684. 

 inversion, 684. 



anomalies of size of the uterus, 686. 

 atrophy, 686. 

 hypertrophy, 687. 



pathological conditions of the separate tissues of 

 the uterus, 687. 



1. pathological conditions of the peritoneal 



coat; acute and chronic metro-peritonitis, 

 687. 



2. pathological conditions of the subperitoneal 



fibrous tissue ; peri-metritis, 688. 



3. pathological conditions of the muscular 



coat, 689. 



diminished and increased consistence, 689. 



parenchymatous inflammation ; metritis, 

 689. ' 



fibroid, or fibrous tumour of the uterus ; 

 interstitial, sub-peritoneal, and sub- 

 mucous fibroid; fibrous and muscular 

 " polypi," 689. 



4. pathological conditions of the mucous coat, 



69'.'. 



simple hypertrophy; dysmenorrha-al mem- 

 brane, 692. 



hypertrophy of the follicular structures of 

 the uterine mucous membrane; follicu- 

 lar " polypi ; " mucous " polypi ; " cysts, 

 692. 

 hypertrophy of the filiform papillae of the 



cervix (pseudo-ulcer), 693. 

 simple inflammatory hypertrophy, with 

 extroversion of the cervical mucous 

 membrane (pseudo- ulcer;, 693. 

 catarrhal inflammation of the mucous coat 

 of the uterus : endometritis ; leucorrho?a, 

 691. 

 ulceration of the mucous coat ; erosion, 



abrasion, and excoriation, 694. 

 distensions of the uterine cavity, 

 hydrometra, 697. 

 haematometra, 697. 

 physometra ; tympanites uteri, 698. 

 hydatids, 698. 



narrowing and obliteration of the uterine cavity, 

 atresia of the os uteri, cervical canal, and 



cavity of the uterine body, 698. 

 pathological conditions involving several of the 



uterine tissues, 

 cancer, 699. 



cancroid; epithelial cancer; cauliflower excre- 

 scence, 700. 

 corroding ulcer, 700. 

 tubercle, 701. 

 solutions of continuity ; rupture; perforation, 



701. 



pathological conditions of the uterus after par- 

 turition, 

 irregular contraction ; hour glass contraction 



(arrested peristaltic action), 702. 

 incomplete and retarded involution, 702. 

 puerperal inflammation, 

 endo-metritis, 702. 

 metro-phlebitis, 703. 

 metro-peritonitis, 703. 

 blood dyscrases, 704. 



LIGAMENTS OF THE UTERUS. 



Normal Anatomy. 



the broad ligament, 705. 



the utero-sacral ligaments, 705. 



the utero-vesical ligaments, 705. 



the round or sub-pubic ligaments, 705. 



VAGINA. 



Normal Anatomy. 

 dimensions, 706. 

 external surface, 706. 



