File:The diagnosis of diseases of women (1905) (14576701678).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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he foetusis rarely viable, but this defect may be found in mature years. The infantile type of the vulva may be maintained after puberty.The entire vulva, or one or more of the component parts, mayfail to mature to the full sexual type. Cretins and dwarfs mostlyretain the infantile type. The vulva may mature at the time ofpuberty, and subsequently undergo atrophic changes involving partor all of the vulva. Causes for such atrophy are found in the wast-ing diseases, in certain nervous disorders, such as epilepsy, and after( 248 ) DIAGNOSIS OF DISEASES OF THE VULVA 249 removal of the ovaries. A physiological atrophy occurs after themenopause. Hypertrophy of the vulva rarely involves all structures compos-ing the vulva. The clitoris is most commonly affected; it sometimesassumes the proportions of the penis, and has been mistaken for it. Congenital Fissures of the Vulva, (a) Epispadias is caused byfailure of closure on the part of the anterior abdominal wall, together Fig. 89mons veneris
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CLITORIS MEATUSURINARIUS Vulva of a virgin. The labia have been widely separated. (Testut.) with a dehiscence of the anterior wall of the alantois. The alantoisthus communicates with the outer world. (6) Hypospadias is formed by a persistence of the urogenitalsinus. The urethra and vagina open high up in the vestibularcanal. The perineum is well-developed. The urethra may beabsent and the bladder communicate directly with the vagina. 250 SPECIAL DIAGNOSIS Here the urogenital sinus has disappeared, and the bladder andvagina open directly into the vestibular canal. Hermaphroditism. True hermaphroditism has not as yet beenproven to have an existence. Nagle says that it is not likely that theovaries and testicles can coexist, and without their coexistence truehermaphroditism is impossible. In pseudohermaphroditism the vulva presents the appearance ofthe male genital organs. The hypertrophied clitoris resembles thepenis; the coalescence of the labia majora and minora hiding thevagina sugge

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