The uterine cavity is normally empty; during menstruation or as
the result of inflammation it may contain blood and bloody mucus;
and the mucosa may be deep-red. The normal mucosa is gray-red
and 0.5-1.0 mm. thick. In the puerperal uterus portions of the
placenta, fœtal membrane, purulent or bloody lochial discharges
are present. The placental site is shown by its uneven surface and
presence of blood-clots. Gangrenous and purulent areas are greenish,
gray, brownish-green, and black, with opaque and ragged surface.
Gas-bubbles may be present. The normal consistence of the uterus
is firm, diminished in the puerperal uterus, increased in chronic
metritis. The cut-surface is smooth in the virgin uterus, rough in
the uteri of women who have borne children and in chronic metritis.
The most common pathologic conditions of the uterus are: abortion,
hæmorrhage, apoplexia uteri, hæmatometra, hydrometra, pyometra,
rupture, perforation, traumatic lesions, endometritis (acute,
chronic, hæmorrhagic, interstitialis, glandularis, hyperplastica,
cystica, polyposa, adenomatosa, infective, decidual, atrophic, etc.),
foreign bodies, tuberculosis, syphilis, actinomycosis, hyperplasia,
metritis (acute, chronic, hyperplastic, atrophic), perimetritis,
parametritis, atrophy, neoplasms (myoma and myofibroma the most
common; adenoma, adenomyoma, adenomatous polypi are very common;
carcinoma [adenocarcinoma, cystocarcinoma, medullary, papillary,
colloid, scirrhous, squamous-celled, malignant chorio-epithelioma]
very common; sarcoma less common but it is not rare [myosarcoma the
most common form; often represents a sarcomatous transformation
of a myofibroma]; metastatic carcinoma and sarcoma are rare), and
parasites (echinococcus).
7. =Tubes.= Note _length_, _thickness_, _shape_, _character of
peritoneum_, _patency_, _fimbriated extremities_ (swelling, redness,
exudate, tubercles, hæmorrhage), _contents_, _color_ and _thickness
of mucous membrane_, _thickness_ and _consistence of entire wall_.
Tubes should be straight, not tortuous; in inflammation they are
usually twisted, tortuous or bent. Hæmatosalpinx is usually caused
by a tubal gestation. The most common pathologic conditions are:
salpingitis (usually gonorrhœal, acute, chronic, catarrhal, purulent,
pyosalpinx, hydrosalpinx, interstitial, perisalpingitis, tubo-ovarian
abscesses and cysts), tuberculosis, actinomycosis (rare), syphilis
(very rare), hæmatoma (ectopic gestation relatively frequent),
neoplasms (rare: adenomyoma, fibromyoma, fibroma, myosarcoma,
sarcoma, carcinoma, chorio-epithelioma and teratoma; secondary
carcinoma from uterus, ovary and intestine).
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