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Moderately small blonde fairly well nourished, but weakly. Vulva not reddened, vagina smooth bathed with urine. Uterus dis placed somewhat pay to write paper backwards, well involuted, and not enlarged. Os halfway between purchase research paper anterior pelvic wall and the spine the ischium. Anterior lip deeply cleft the catheter in the bladder can seen enter the cervical canal. Posterior lip smooth, and fissured in its middle. Bladder contains a small quantity dark muddy urine sediment contains some blood cells and some epithelium no albumen. In the posterior vesical wall, towards the middle, a pea-sized opening communicating with the Diagnosis. Spontaneous vesico-cervical fistula, with generally contracted pelvis.
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