8. =Ovaries.= Note _size_, _form_, _consistence_, _color_, _character
of cut-surface_, number of Graafian follicles, corpus luteum, etc.
Ovary at puberty weighs about 10 grm., measures 4-5.2 cm. long,
2-2.7 cm. broad, 1.0-1.1 cm. thick. The adult ovary weighs about
7 grm., and measures 2-4 cm. long, 1.4-1.6 cm. broad, 0.7-0.9 cm.
thick. A corpus luteum is 1.0-2.0 cm. in diameter. Ovary is compared
to an almond in size and shape. In young individuals the surface
is grayish-white and smooth; with age the surface becomes more
and more irregular, the organ smaller and its consistence firmer.
The cut-surface in young individuals is normally very moist (this
should not be regarded as œdema). The most important conditions
are: inflammation (acute and chronic, hæmorrhagic, purulent, etc.,
oöphoritis, abscess), tuberculosis, cystic follicles, lutein-cysts,
cystadenoma (multilocular, monolocular, surface papilloma, simplex,
papillary), parovarian cysts, carcinoma, fibroma, sarcoma, dermoid
cysts, teratomata, malignant teratomata, embryoma, parasites
(echinococcus is very rare).
9. =Uterine Ligaments, Vessels and Lymphatics.= Peritoneum over the
broad ligament should be moist-shining, delicate and transparent.
Inflammatory processes are very common in the parametrium,
particularly in puerperal cases. The peritoneum is cloudy, opaque,
injected, or covered with fibrinous or purulent exudate. Great
numbers of small cysts containing clear fluid are often found in the
peritoneum of the broad ligament as the sequelæ of inflammation. Note
contents of blood-vessels (thrombi, concretions, neoplasms), and
character of walls. Parovarian cysts, myomata, adenomyomata (round
ligament), secondary carcinoma, chronic inflammations, hæmatoma and
tubercles are the most common pathologic conditions.
CHAPTER XII.
SPECIAL REGIONAL EXAMINATION.
I. METHODS OF EXAMINATION.
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