Cervicitis 



619 



troduced and exploratory douching attempted, the first fluid 

 to return is probably a mil or two of muco-pus which has 

 been caught in the fenestrum of the outer catheter tube as 

 it passed through the cervical canal. 



As the intensity of the disease advances, there appear 

 two divergent types of secretion — mucous and purulent. 

 That of the mucous type, in its extreme form, is represented 

 in Colored Plate VI. The cervical glands in the mucosa of 

 the great angry red tumor secrete a viscid, tough mucus re- 

 sembling in varying degrees the uterine seal. It may be 



Fig. 196 — Uterine Syringe with Conical and Curved Nozzles. 



softer or more resistant than the seal. I have met clin- 

 ically cases where the secretion was so voluminous and its 

 resistance so great that it defied my efforts at passing 

 dilator, catheter, or other instrument through the cervical 

 canal into the uterus. 



In the purulent type, in sharp contrast to the preceding, 

 abundant pus is formed, chiefly in the vaginal end. The pus 

 accumulates in varying quantities in the cervical end of the 

 vagina, from which it is intermittently expelled. The pus, 

 ordinarily offering nothing remarkable in character, is gen- 

 erally thin and is yellowish or grayish white. Sometimes it 

 is very fetid; sometimes non-fetid. 



