118 THE MALE ORGANS OF GENERATION. 
Describe the changes in the different forms of salpingitis. 
The two latter forms present the characteristic changes common each 
to its own type of inflammation. 
In the first form the mucous membrane is hyperzemic and swollen; 
it may be covered with a layer of muco-pus. The changes due to this 
form may disappear or may become chronic, resulting in adhesions, 
dilatation, or obliteration. 
In the suppurative form there is an exudation of pus into the wall 
and mucous membrane of the tube. The lumen of the tube may be 
dilated and be filled with pus (pyosalpinx). Perforation may occur 
and the pus escape into the abdominal cavity, or the exudation may 
undergo a calcareous degeneration. 
MAMMARY GLANDS. 
What are the different forms of inflammation common to the 
female breast ? 
Acute mastitis. 
Chronic mastitis. 
Syphilitic mastitis. 
Describe them. \ 
Acute mastitis is an exudative inflammation, (without the production 
of pus,) and may involve the subcutaneous tissue, the glandular por- 
tion or the areolar tissue between the gland and wall of the thorax. 
At first the affected portion is hard, swollen, congested and painful. 
It may stop here and the inflammatory products be absorbed, or it 
may go on to suppuration with the formation of abscesses. This 
condition may cause great destruction of gland tissue. Chronic mas- 
titis is a productive inflammation with the production of new connect- 
ive tissue and consequent atrophy of the glandular elements. Syph- 
ilitic mastitis may occur in the form of ulcers upon the nipples. 
What tumors have been found in the mammary glands ? 
Fibro-adenomata, myxomata, chondromata, sarcomata and carct- 
nomata. 
THE MALE ORGANS OF GENERATION. 
PENIS. 
Describe the various inflammations of the penis. 
They are produced by injury, irritation or infection with specific 
germs. The prepuce may be swollen and red, or may ulcerate from 
