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Therefore in their description and classification will for the present adopt a clinical standard, and consider the pathologico-anatomical data separately.

The inflammatory diseases the vagina usually affect the mucous membrane vaginitis, the deeper layers the vaginal walls being but infrequently and subordinately involved. In exceptional cases they chiefly affect the perrvaginal connective-tissue layers perr vaginitis.

Vaginitis most commonly appears as a catarrhal inflammation.

It is seen in various forms according its cause, the extent and duration the process, and the condition the vaginal mucous membrane online coursework as regards evolution or involution gravidity, puerperium, senility but it may also exudative, croupous, diphtheritic, etc.

Since Eokitansky this has been the usual division vaginal inflammations. It not quite an accurate one, since transition-forms occur, and there an etiological relationship between the two. But custom essays writing service have retained because enables classify the different forms inflammation, and because there are clinically a number important differences between In general the first includes the milder, and the second the severer inflammations. In catarrhal vaginitis not have the coagulable exudation and the superficial tissue necrosis which the rule in the exudative form.

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The latter are regularly the more severe, and are usually found conjointly with infective diseases springing from other organs.

The exudative inflammations much more commonly than the catarrhal lead to ulceration, and the ulceration may affect an extent surface and reach a depth such as never seen in the catarrhal forms. The catarrhal i need help writing a personal essay inflammations include all those forms in which there is secreted a pathological, pus-containing mucoid fluid, and in which the inflammatory tissue changes small-celled infiltration and proliferation are confined the superficial layer the mucous membrane the papillary bodies and their neighborhood, with the glands and follicles. Thus not only the simple and virulent catarrhs in sensu strictori, but also the forms described as vaginitis glandularis, follicularis, miliaris, and Remarks. In several recent treatises upon vaginal inflammations there no mention made catarrh, but only the changes vaginitis.

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Huge, Schroeder. Much stress laid upon the similarity in structure the vaginal mucous membrane and the integument being claimed that from its want glandular structures, its papillary surface, and its layers epithelium, resembles the skin much more than the mucous membranes. Bumm has lately reached the same conclusion, as have Eppinger and Fritsch. I hold that in spite this analogy, cannot clinically dispense with the idea catarrh.

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It marks, as Virchow in another connection has again reminded as its etymology xarapsw shows, the chief symptom, the flow, and enables group together the various forms inflammation known as vaginal leucorrhcea, blenorrhcea, Pathological Anatomy. While most authorities agree in their description the anatomy the catarrhal changes in the vagina as regards their macroscopic relations, and the clinical pictures correspond, there are but few and those varying paraphrasing worksheets reports as the microscopic findings. We will refer at length Ruge's important work, which the first detailed anatomical investigation vaginal inflammation. Rnge divides vaginal inflammation into three forms Kolpitis granulans, which takes as the type vaginal inflammation, simple kolpitis and, the kolpitis old Avomen. The first two vary as they occur as acute or as chronic processes. Rnge thus describes the development the changes kol pitis granularis dissertation abstract In consequence the irritant which causes the inflammation, the entire epithelial layer thickened, the increase being especially marked in the deeper layers. The proliferating layer, which in carmine stained Sections colors more deeply than does the older tissue, may equal half the entire thickness the stratum, and more.

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