Diseases of Women Tenth EditionsPDF电子书下载

CHAPTER 1 ANATOMY AND PHYSIOLOGY 1

General Features 1

Ovary 4

Development and Physiology of the Ovary 10

Ovulation 15

Endocrine Relations Concerned in the Ovarian Cycle (by Willard Allen) 32

Structures in the Broad Ligament 43

Uterus 45

Anatomy 45

Physiology of the Uterus 61

Menstruation 61

Fallopian Tubes 91

Physiology of the Tubes 93

Pelvic Peritoneum 96

Pelvic Connective Tissue 97

Vagina 99

Physiologic Changes in the Vagina 102

External Genitals 106

CHAPTER 2 GYNECOLOGIC EXAMINATION AND DIAGNOSIS 117

Psychosomatic Aspects of Gynecology 117

History 121

Physical Examination 122

Breast Examination 124

Abdominal Examination 124

Inspection of Abdomen 124

Prominence of the Abdomen 125

Palpation of Abdomen 131

Percussion of Abdomen 138

Auscultation of Abdomen 139

Mensuration of Abdomen 140

Examination of External Genitals and Adjacent Structures 140

Dischange About External Genitals 141

Vaginal Examination (Digital) 144

Cervix Uteri 146

Pericervical Tissues 148

Pelvic Floor 148

Vaginoabdominal Examination (Bimanual) 149

Palpation of Body of Uterus 150

Palpation of Lateral Regions of Pelvis 157

Palpation of Other Regions 160

Speculum Examination 162

Rectoabdominal Palpation 173

Localization of Backache 176

Special Examinations 177

Vaginal Smears and Surface Biopsy 177

Colposcopic Magnification 179

Schiller Test 180

Cervical Biopsy 182

Exploration of Endometrial Cavity 183

Cul-de-Sac Puncture 185

Pregnancy Tests 186

Endocrine Investigations 189

Gas Test for Tube Patency 196

X-ray Examinations 200

Pelvic Examination Under Anesthesia 208

Intra-abdominal Inspection 209

Urinary Tract Investigation 212

Premarital Examination 212

Differential Diagnosis 214

Method in Diagnosis 214

CHAPTER 3 DISEASES OF THE EXTERNAL GENITALS AND VAGINA 222

Gonorrhea 222

Gonorrhea in Children 229

Gonorrhea After the Menopause 231

Diseases of the Vulva 231

Pruritus Vulvae 231

Other Types of Vulvitis 234

Ulcerative Diseases of Vulva and Vagina 246

Nonmalignant Growths and Swellings of Vulva 261

Malignant Disease of the Vulva 273

Vulvovaginal Gland Diseases 283

Diseases of the Vagina 286

Injuries 286

Vaginitis 286

Nonmalignant Growths and Swellings in Vagina 302

Malignant Disease of the Vagina 305

Urethral Conditions 308

Miscellaneous Disturbances 312

CHAPTER 4 RELAXATION AND FISTULAE 322

Point in Anatomy 322

Relaxation of the Pelvic Floor 325

Rectocele 338

Cystocele 338

Laceration of Sphincter Ani Muscle 341

Rectovaginal Fistula 349

Vesicovaginal Fistula 351

CHAPTER 5 DISPLACEMENTS OF THE UTERUS 358

Points in Anatomy 358

Retrodisplacement of Uterus 360

When the Uterus Is Movable 366

When the Uterus Is Adherent 376

Prolapse of Uterus 378

Inversion of Uterus 394

CHAPTER 6 INFLAMMATORY AND METABOLIC DISTURBANCES OF THE UTERUS 395

Pelvic Congestion 395

Acute Cervicitis 396

Chronic Cervicitis 397

Ulcer of Cervix 422

Cervical Polyps 429

Hypertrophy of Cervix 431

Stricture of Cervix 432

Hyperplasia of Endometrium 432

Membranous Dysmenorrhea 442

Acute Endometritis (Nonpuerperal) 444

Puerperal Endometritis 445

Chronic Endometritis 446

Chronic Metritis 446

Subinvolution of Uterus 449

Hyperinvolution of Uterus 453

Hypertrophy of Myometrium 454

Senile Atresia of Uterine Canal 455

Tuberculosis of Uterus 456

Syphilis of Uterus 459

Echinococcus Disease of Uterus 460

Actinomycosis of Uterus 462

CHAPTER 7 NONMALIGNANT TUMORS OF THE UTERUS 464

Myoma of Uterus 464

Pregnancy and Myoma 493

Adenomyosis (Adenomyoma) 496

Miscellaneous Growths 499

Benign Tumors of the Cervix 501

CHAPTER 8 CANCER OF THE UTERUS 505

Etiology of Cancer 505

Carcinoma of the Cervix Uteri 507

Etiology of Cervical Cancer 507

Pathology 511

Intra-epithelial Carcinoma of the Cervix 520

Early Diagnosis 528

Pathology of Adenocarcinoma 532

Treatment 535

Radiation Therapy (by A．N．Arneson) 537

Operative Treatment 547

Prognosis 548

Prevention 549

Pregnancy With Cervix Cancer 552

Carcinoma of the Corpus Uteri 553

Etiology 553

Pathology 558

Symptoms and Diagnosis 567

Treatment 572

Prevention of Corpus Cancer 576

Chorionepithelioma 578

Sarcoma of the Uterus 585

Pathology 585

Treatment 591

CHAPTER 9 PELVIC INFLAMMATION 595

Introduction 595

Acute Pelvic Inflammation 596

Chronic Pelvic Inflammation 610

Chronic Salpingitis 610

Chronic Pelvic Cellulitis (Parametritis) 626

CHAPTER 10 OTHER DISEASES 633

Extrauterine Pregnancy 633

Other Pelvic Hemorrhages 655

Tubal Tuberculosis 657

Tumors of Fallopian Tubes 665

Torsion of Adnexa 670

Varicose Veins of Broad Ligament 671

Miscellaneous Rare Conditions 672

CHAPTER 11 DISEASES OF THE OVARY AND PAROVARIUM 685

Clinical Classification 685

Congenital Anomalies 687

Prolapse of Ovary 689

Infection of Ovary 690

Disturbances of Follicular Function 691

Ovarian Tumors 701

Benign Growths 701

Proliferating Cysts 702

Dermoid Cysts 710

Symptoms and Diagnosis of Ovarian Cysts in General 713

Complications 715

Treatment of Proliferating and Dermoid Cysts 718

Ovarian Tumors in Children 718

Benign Solid Tumors 719

Malignancies of the Ovary 723

Malignant Tumors Arising From Ovarian Mesenchyma 735

With Endocrine Influence 735

With No Endocrine Influence 747

Miscellaneous Rare Tumors 749

Tumors of the Uterine Ligaments 750

Tumors Due to Transplantation or Heteroplasia 753

CHAPTER 12 MALFORMATIONS 773

Points in Development 773

Anomalies of Development 775

Types of Anomalies 777

CHAPTER 13 MENSTRUAL DISTURBANCES 807

Disturbances of Function 807

Menstrual Disturbances 808

Menorrhagia and Metrorrhagia 808

Treatment-Investigation Program 808

Irregular Menstruation 822

Precocious Menstruation 822

Vicarious Menstruation 823

Intracyclic Bleeding 823

Absence of Menstruation (Amenorrhea) 823

When the Patient Has Never Menstruated 824

When the Patient Has Menstruated 826

Painful Menstruation (Dysmenorrhea) 836

Premenstrual Tension 849

Menstrual Headache 850

Intermenstrual Pain and Spotting 851

Menstrual Pruritus 851

CHAPTER 14 STERILITY AND SEXUAL DISTURBANCES 855

Sterility 855

Contraception 872

Sterilization 873

Dyspareunia 874

Sexual Frigidity 877

Sexual Hyperesthesia 878

CHAPTER 15 MISCELLANEOUS DISTURBANCES 880

Climacteric Disturbances 880

Endocrine Changes 881

Other Disturbances Associated With the Climacteric 885

Menopause Disturbances 886

Allergic Disturbances 888

Breast Considerations 891

CHAPTER 16 MEDICOLEGAL POINTS IN GYNECOLOGY 896

Rape 896

Other Conditions 905