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class, and, on examination, the uterus was normally placed,
movable, and measured two and three-fourths inches. Her
menses had ceased for four days. She had travelled from the
ground-floor of the hospital to the top for the last ten days,
and left the hospital in that improved and natural buy naprosyn 500mg state. No
case could have presented a better illustration of the ductility
of the uterus, in an unimprognated state of the uterus in a
primipara, than did Horton's. This morbid condition was in-
dependent of any conception, or abortion, ec naprosyn rxlist or distention by
blood. Had the view of Huguier been correct, the result
ACTIVE UTEKINE LNVEESIOI^. 465
would have negatived such an opinion. ec-naprosyn generic Its spontaneous re-
duction, and its replacement to its normal standard and meas-
urement — its physiological function naprosyn gel costo continuing regularly, and
the uterus attaining its natural position in the pelvis, are
points of much interest and value for investigation and ob-
servation.
Case III. Complete Inversion of the Uterus in the TJn-
impregnated State. (Botek.) — I intentionally draw upon Boyer
for this case, because his testimony that an unimpregnated
uterus may be inverted is not to be disputed, even if others
may be doubted. He is considered, as Crosse says, one of the
ablest of surgeons, and most perspicuous of authors, both pretty
sure guarantees for his having been an accm*ate observer, and
not likely to be mistaken.
This woman was aged forty -four years, of large stature,
and considerably fat. Has always been regular, and had had
three children. She had never lost blood nor had naprosyn generic naproxen leucorrhoea.
After having felt during a long time there generic naprosyn a weighty ec-naprosyn price filling and
heaviness in the pelvis, and a dragging in the loins, and when
she was walking or standing for some time, there presented, at
the entrance of the vagina, a tumor which she felt with her
finger. Finally, the tumor escaped from the vagina. She
consulted two physicians, who regarded the tumor as a poly-
pus, and proposed the ligatm-e. On examination, Boyer per-
ceived between the labia a tumor, which had passed about
three-quarter inch out. This tumor was a little larger than
natural, naprosyn sr 1000 mg having a pyriform shape ; its'pedicle, large and short,
was smTounded by a collar slightly projecting, under which
the finger penetrated to the depth of a few lines. This tumor
was tender to the touch — color grayish, its surface unequal
and villous. Boyer says he has no doubt of the correctness
of his opinion as to the nature of the case. I could cite other
cases from high authority, but those related will be sufficient
to show that partial and complete inversion will and does
occur in the unimpregnated uterus, consequent on some par-
ticular or peculiar change or condition of the uterus in its
structure other than pregnancy, which causes its parietes to be
widened and thinned.
To add to the cases I have related in the unimpregnated
466 THE MECHANISM OF SPONTANEOUS
state, I will extract from Inglebj's cases and observations
(p. 227) the following case after labor, similar in character to
the cases of Lawrence and my own. It was considered, how-
ever, and classed, under the general interpretation, as a case
of inversion according to the older view, but the history does
not verify that opinion. The relation of the case will naprosyn 500 mg oblong yellow tablets speak
for itself:
Case TV. Partial Inversion of the Uterus, Eight Days
after Confinement. (Inglebt.) — Mrs. "W. was delivered of her
first child on Thursday night, the 17th. The practitioner in-
formed me naprosyn ec 500 mg pl that, immediately on the removal of the placenta,
syncope took place, followed by profuse hsemoiThage, which
subsided a little the next morning. She was harassed by fre-
quent pains in the hypogastrium, and an occasional increase naprosyn 500 mg oral tablet
of haemorrhage, until the succeeding Thursday night, eighth
day after delivery, at which time I was requested to see her.
I found her nearly without pulse, exsanguined, comatose, de-
lirious on being roused, as if she was moribund. On laying
my hand over the pubic region, the uterup, which felt hard,
presented two singular features, its form being almost conical
and its circumference particularly small. I ascertained that the
vagina was filled by a very round tumor, which almost naprosyn ec fort 500 mg reached naprosyn costochondritis
the OS externum, corresponding to the fundus uteri, and re-
sembling a large polypus. On carrying the finger as high as
I could possibly reach, I distinctly felt the os uteri encircling
the tumor like a firm stricture. It was clearly a case of in-
version of the uterus. The body of the organ being above the
brim, and the os internum occupying the centre of the inver-
sion, an attempt was much does naprosyn cost made to reinvert it. In about five min-
utes the stricture gave way to the compression which we made,
the left hand gained full possession of the cavity, and was felt
externally over the pubes. In his remarks on this case, Ingle-
by says : " The circumstance of the h}q30gastrium containing
a portion naproxen 500mg generic naprosyn of buy naprosyn tablets the uterus, the body of the organ, as in this in-
stance, may prove exceedingly deceptive. How imj)ortant,
then, to ascertain where can i buy naprosyn whether the hj'pogastrium is occupied by the'
fundus uteri, characterized by the firmness, roundness, and
superior size ! " Ingleby had not eyidently recognized the true
character of the inversion of this case. If this was the correct
ACTIVE UTEKIlS'i: USTYERSIOK. 467
d^escnption, then the naprosyn sr tablet 1000 mg fundus was certainly not indented, nor
do we see after complete or partial inversion the os internum
in the centre of the fundus or lower part. I am further cor-
roborated in my views by the additional remarks of Ingleby,
that " there is a form of inversion in the course of can you get high off naprosyn 500mg its longi-
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