4^0 THE MECHANISM OF SPONTAISTEOIIS
testimony of Martin and Alt shows tliat motilium imodium it is easier to pene-
trate the tissue motilium cost of the uterus than enter the tube. Dr. Tyler
Smith was the first to call the attention of the profession to
Fallopian-tube catheterization, in 1849, for sterility. The in-
strument he used was the Gairal Eustachian catheter and then
introduced through it a fine whalebone bougie, to enter motilium mg the tube.
Dr. S. M. Cartwright, of ISTew Orleans, has cauterized the motilium domperidone 10mg Fal-
lopian tube with nitrate of silver. He has also treated success-
fully a case of ovarian tumor in 1851 through the tube. He does
not consider it easy in an unimpregnated state of the uterus to
catheterize the Fallopian tube, unless the uterus is diseased. It
is of course difiicult to decide on the exact status of the uterus
wdiere the sound enters to such a length in the unimpregnated
state. I conceive, however, that it is a demonstrated fact, and,
as I have seen no unfavorable symptoms springing from that
mode of motilium tablets 10mg testing the length of the uterus, whether in the newly-
confined or unimpregnated state, I must reject the opinions
which advocate the perforation of the uterus, or the entrance
in a large number of cases into the Fallopian tube ; and recog-
nize the soft condition of the uterus, spoken of above as
causing the ductility, which, when sounded, gives rise to the
different lengths, as stated. In the Atlanta Medical and
tSurgioal Journal for December, 1871, before the Atlanta
Academy of Medicine, this lengthened state of the uterus for
procidentia uteri was under observation and discussion ; and
the various opinions expressed on motilium buy this subject, without any
reference to the condition of the uterus, I have referred to in
this article on the ductility in procidentia uteri.
Boyer claims that there must be a certain condition of the
uterus in the unimpregnated state before inversion may motilium generic take
place. What that motilium online condition is he does not state, but it has
no relation to gestation or expansion motilium price of the body of the uterus
by any foreign substance. Ashwell hints at it, while he ad-
mits inversion may occur in the domperidone motilium non-pregnant uterus. Resting
as I have upon the term " squatty uterus " as significant in its
characteristics of softness, flabbiness, size, and ductility, as
tested in many motilium 10 instances by the sound, or becoming procident
by the gravity of its position, my experience would author-
ize me to adopt that peculiar or certain condition I have re-
ACTIVE UTERINE rNVEESIOjS'. 461
ferred to of the uterus. I frankly admit, that I do not pro-
fess to give its true status, unless it is simply buy motilium online what is referred
to by some cheap motilium of the older gynaecologists as an intumescence. It is
certainly in many purchase motilium cases not a true pathological change of struct-
ure such as we notice in the uterus after confinement, and motilium tablets be-
fore perfect and natural involution has transpired, whether of
recent date or after some years, as we recognize in procidentia
uteri. "We must bear in mind the peculiar structure of the ute-
rus, isolated as an organ from every other visceral structure in
the human frame, springing into existence as a physiological
organ at puberty, subject to important physiological and
pathological changes or processes dm'ing a thirty-year's life,
formed anew again and again, as motilium canada a consequence of gestation,
then passing into forgetfulness, and physiologically, virtually
dead, but incident to other serious pathological mutations after-
ward. During, therefore, this living existence many changes
or peculiar conditions of its structure transpire which no
gynsecologist has yet recognized and explained, but the facts
we notice, and the observations I have made, are founded on
the facts under our cognizance.
In illustration of the cases I propose presenting for con-
sideration, after the general remarks I have made, and to
pave the way for further investigation and observation, I shall
offer first the case of Mr. "William Lawrence, of London, pub-
lished in the London Medical Gazette^ December 5, 1838, in a
clinical lecture, and order motilium is styled " Spontaneous Partial motilium uk Inversion
of the Uterus."
Xo authorities that I have read, except Klob, have made
any reference to his case. Klob mentions it only incidentally,
and says : " A very remarkable class of cases of inversion are
those in which, without efficient cause, an inversion of the
cervix into the vagina takes place, drawing the fornix of the
latter with it, and thus forming a polypus-like tumor in the
cavity of the vagina, which may reach down to the vulva,
at the lower part of which the internal orifice is situa-
ted." This description of Klob's would answer for Lawrence's
case, the recital of which will show a more extensive in-
version than he has alluded to. In my monograph, referred
to above, I illustrated my views on the subject of the eversion
\
462 THE MECHANISM OF SPONTANEOUS
of tlie cervix uteri, and gave cases which measured, motilium pharmacy when com
plete, from three to four inches in diameter. In the cases to
be related by Lawi'ence and myself of partial inversion of the
uterus, tliey are greater in length and differ in appearance
entirely from eversion, as the diagram will show. The case
of Lawrence appears either to have been overlooked or ig-
nored by those wlio have advocated the views as maintained
above. It is too much the case with members in our profession
to disparage all evidence which has a practical bearing on old
and preconceived opinions, and while they have no more van-
tage-ground, if as much, from the theories they wish to advocate
and circulate, they dismiss the subject by 6im])ly considering it
an error of diagnosis, or a mistake entirely. For one, I am dis-
Related tags: purchase motilium online, motilium 30 mg, motilium oral suspension, order motilium online, motilium generic name, buy cheap motilium, domperidone 10mg, buy domperidone, buy domperidone online, buy cheap domperidone, cheap domperidone, order domperidone, order domperidone online, domperidone online, purchase domperidone, purchase domperidone online, generic domperidone
Related links: 2 Nizoral, Motilium Mg