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On the posterior wall, three-quarters an inch above the commissure and as far as the middle the vagina, there was loss substance for a space the breadth the little finger, which was covered with swollen epithelium, in places elevated in blebs, and the base which was formed a greatly reddened, thin, whitish exudation. Similar small patches writing a phd thesis were found laterally and the anterior wall.

Where the epithelium was intact could readily separated.

The sub-epithelial and sub-mucous tissue was softened, moist, essay writer cheap reddened.

The fluid from one the small blebs the side the ulcer contained the pale, movable, monadinencocci Klebs. Similar cocci were found in the epithelium from the foot in the deeper tissue-layers and in the blood they were not detected. Where the epithelium was intact, was swollen, and the cells contained vacuoles. The papilla? were broadened, and the vessels were injected. The cellular infiltration extended in portions down the muscular layer. The epithelial and sub-epithelial layers intercommunicated.

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The deep vessels the vagina were much widened the muscular layer was unchanged, and the mucous membrane the cervix and the uterus, as well. Eppinger's case, which was seen before the appearance Fehleisen's work, as far as I know, the only one in which erysipelas extended to Vaginitis Septica. Of the septic changes in the vagina, the slough and ulceration infected wounds in puerperee, which Klebs assignment writer has called wound diphtheria, are best known. Less attention, anatomically, scholarship essay writing service as well as clinically, has been paid the septic changes in the intact mucous membrane, although they are not infrequent occurrence the nymphae, in the vagina and the cervix, as the result the action septic secretion.

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Fischel has often spoken epithelial essay on helping the poor and needy necrosis in septic puerperae, without going into a detailed description.

Eppinger states in regard the differential diagnosis between dysenteric and septic dissertation search necrosis, that the former invades preference the lower extremity the columnae.

Tbese changes are most frequently found in puerperae.

On intact portions the mucous membrane, for instance, the borders the nymphse, the cervix, top the vaginal rugae, and in particular on the edge the columnae, are found dry, yellow spots, isolated, the level the mucous membrane, which can only removed with the epithelial layer. In extreme cases they may extend over the entire vagina, and resemble a diphtheritic exudation. Although these spots are not particularly injected, the mucous membrane under them swollen and inflamed, especially the apices the rugae and columnae, and is reddened. Without doubt, the inflammatory processes, as buy essay papers well as the epithelial necrosis are due, in general, secretion from the uterus containing septi cocci, and in proof this have seen a marked instance where there could no question extension from an ulcer. In a case atresia hymenalis, which have referred, where, after a small perforation there occurred purulent degeneration the retained blood, there formed a septic colpitis which spread over the entire vagina with yellow what do you need to write a good thesis help write a thesis write my college essay for me statement for me statement adherent deposit top the thickened rugae. During the course antiseptic treatment these deposits pay someone to write my research paper remained unchanged for days, and the epithelium reformed without there being at any time an erosion in other cases, the contrary, where antisepsis was not attended there remained after separation the deposit, flat, yellowish ulcers, which spread irregularly in depth and in width. Such ulcers have been noted Eppinger at the extremities the columnae. Symptoms and Course.

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