736 



ANALYTICAL INDEX. 



Uterus and its App>. ndages 

 THE PAKOVAKIUM : 



structure and development, 593. 

 abnormal states, 597. 

 THE FALLOPIAN TUBE OR OVIDUCT : 

 Normal Anatomy 



form ; dimensions, 597. 



situation and connections, 598. 



separate parts and divisions, 509. 



internal orifice, 509 



uterine portion of the tube, GOO. 



canal, 600. 



external orifice, 600. 



pavilion or infundibulum, C01. 



fimbrije, 602. 



tubo-ovarian ligament, 602. 



structure of the coats or tunics, COS. 



blood-vessels and nerves, 604. 

 functions of the Fallopian tube. 



reception and transmission of ova and spermatic 

 fluid, 605. 



first steps in the process of impregnation, 608. 



the changes which the ovum undergoes in the tube, 



development of the Fallopian tube. 



formation of the oviduct out of the duct of Miiller, 



613. 



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, 6.0. 

 UTERUS: 

 Normal Anatomy 



situation and position, 623. 

 form, 624. 



dimensions and weight, 624. 



regional divisions : the fundus ; the body; the cer- 

 vix, 624. 



external surface, 626. 



internal surface, and cavities of the body and cer- 

 vix, 6'26. 



structure and arrangement of the tissues composing 

 the body of the uterus, 630. 

 peritoneal coat, 631. 

 middle or muscular coat ; composition; course 



of the muscular fibres, 631. 

 mucous or deciduous coat ; its composition, 



635, 



utricular glands or follicles, 636. 

 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, 



c. the uterus during menstrual life, 644. 



d. 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, 



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 and restoration of the compo- 

 nent tissues, 659. 

 /. the uterus after the menstrual epoch ; senile 



atrophy or involution of the uterus in advanced 



life, 661. 



Uterus and its Appendages continued. 

 functions of the uterus 



a. the office of the uterus in menstruation, 062. 

 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; its analysis, 



664. 



source of the menstrual flux, 605. 

 the means by which the blood escapes during 



healthy menstruation, 660. 

 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. 



b. 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, 072. 

 the peristaltic action of the uterus, and its 



cause, 673. 

 the rhythmic action of the uterus, and its cause, 



674. 

 influence of the different nervous centres upon 



the uterus in paiturition, 675. 

 the exciting cause of labour, 677. 

 Abnormal Anatomy of the uterus 

 defective development, 678. 



1st class, congenital defect?, 678. 



the various abnormal forms of the uterus, 

 arising from imperfect coalescence of 

 the primitive uterine halves (commonly 

 termed double uterus), arranged in four 

 groups: 



Group I. uterus bipartitus, 678. 

 Group II. uterus unicornis, 67f>. 

 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. 



its 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, 



692. 



simple hypertrophy; dysmenorrhceal mem- 

 brane, 692. 



hypertrophy of the follicular structures of 

 the uterine mucous membrane ; follicu- 

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

 692. 

 hypertrophy of the filiform papilla? of the 



cervix (pseudo-ulcer), 693. 

 simple inflammatory hypertrophy, with 

 extroversion of the cervical mucous 

 membrane (pseudo- ulcer;, 693. 

 catarrhal inflammation of the inucous coat 

 of the uterus; endometritis; leucorrhcca, 

 694. 

 ulceration of the mucous coat ; erosion, 



abrasion, and excoriation, 604. 

 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. 



