6. =Uterus.= The developed uterus weighs 33-41 grms. In women who
have not borne children the dimensions are 7-8 cm. long, 4 cm. broad,
2.5 cm. thick; in women who have borne children the dimensions are
8-9 cm. long, 5-6 cm. broad, and 3 cm. thick. The dimensions of the
postpartum uterus vary greatly, where normal contraction has taken
place the length is 8-9 cm., breadth 5-6.1 cm., thickness 3.2-3.6
cm., and weight 102-120 grms. Note _size_, _shape_, _character of
peritoneal coat_, _consistence, character of cut-surface_, _size_
and _contents of cavity_. Length of uterine cavity 5.2-5.7 cm.
Note relations between body of uterus and cervix. In adults the
circumference of the body of the uterus is greater than that of
the cervix; before the age of puberty it is less than that of the
neck. In old age the entire organ contracts, but the body more than
the cervix, so that the organ again assumes an infantile form. The
external os in the virgin uterus is round or oval; in women who have
borne children it appears as a transverse cleft. The most common
conditions of the cervix are the so-called erosion and ectropion,
cystic glands (ovula Nabothi), cervical catarrh, hyperplasia, ulcers,
polypi, myofibroma and carcinoma. Note contents of cervical canal
(normally glassy, tough mucus; in catarrh becomes thin, cloudy or
purulent); length and shape of canal (elongations, dilatations,
stenosis, etc.). Color of mucosa should be grayish-red; the folds
should be distinct and symmetrical. Purulent and diphtheritic
inflammations, lacerations, polypi, cysts, fibromyoma, carcinoma and
tuberculosis are the most common conditions affecting the cervical
canal.
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