114 THE FEMALE ORGANS OF GENERATION. 
inflammation, with changes characteristic each of its own variety, have 
been observed. 
What tumors have been found in the vulva ? 
Fibromata, papillomata, lipomata, fibro-sarcomata and carcinomata, 
What inflammations are common to the vagina ? 
Catarrhal inflammation. 
Croupous inflammation. 
Suppurative inflammation. 
Tubercular inflammation. 
Syphilitic inflammation. 
Describe catarrhal inflammation of the vagina. 
It may be acute or chronic and is most frequently caused by the action 
of gonorrheeal poison. In the acute form the mucous membrane is 
swollen, congested and covered with muco-pus. In the chronic form, 
besides the above changes, there may be an exfoliation of epithelium and 
the formation of ulcers. In some cases the mucous membrane is 
thickened and may be roughened by papillary growths. 
Describe croupous inflammation. 
The mucous membrane is swollen and covered with fibrin and pus. 
It, together with the submucous coat, may be infiltrated with fibrin. 
The process may be so severe that both the mucosa and submucosa 
may become gangrenous. 
Describe suppurative inflammation. 
It is an exudative inflammation of the fibro-muscular coat of the 
vagina, and may lead to the formation of abscesses and sloughing of the 
vaginal wall. 
What is to be said of tubercular and syphilitic inflammation of the 
vagina ? 
The changes due to each are the same as occur elsewhere with these 
different forms of inflammation. 
What tumors have been found in the vagina ? 
Fibromata, myomata, sarcomata and cysts. 
UTERUS. 
Changes in size and position of the uterus are considered in the works 
on Gynzecology and Obstetrics of this series. 
What are the inflammations of the unimpregnated uterus ? 
Acute catarrhal endometritis, 
