File:The practice of surgery (1910) (14592289929).jpg

Identifier: practiceofsurger00mumf (find matches)
Title: The practice of surgery
Year: 1910 (1910s)
Authors: Mumford, James Gregory, 1863-1914
Subjects: Surgery
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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or parturition, abortion, improper local treatment, operations, mastur-bation, catheterization, and from gonorrheal, sj-philitic, and other suchinfections. Gonorrhea is perhaps the most common and the most serious
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Fig. 141.—Uterus from patient dying on tenth day from pure streptococcic infection (Jewett). form of infection. This disease attacks and finds read) lodgment in theexternal genitals and urethra; it invades the vagina with difficulty, but itruns riot and lingers long in the uterus, especially in the cervix, with itsnumerous and extensive crypts, tubules, and glands; and it passes easilyfrom the uterus to the Fallopian tubes. This extension of infection,whether bacterial or some other, travels by continuity of the nmcosaand by the lymphatics and blood-vessels. In brief, one may distinguish the ande infections as those vii-ulentforms which call out the defensive inflammatory piocesses I have des-cribed and, finally, produce local necrosis, with a termination in resolu-tion or further advance to progressive suppuration. At any time theacute infection may break through the barrier and invade the whole INFLAMMATIONS 263 body. Sometimes the acute process heccjmes chronic; its intensitydimi

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