A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Resolution by reabsorption of the effused product may now terminate the
disease; but that is not the rule when the process has once advanced
beyond the first or congestive stage. If it is found that suppuration
is likely to take place, that the disease is following its natural
course, the third stage must be facilitated. The therapeutic plan laid
down above will serve to limit the amount of pus-formation and tend to
concentrate it to one point for evacuation. The hot fomentations should
be continued, as well as the counter-irritation by the iodine. It will
probably be observed that the patient has rigors of more or less
severity, followed by rise in temperature. These symptoms should be
looked upon as an indication of pus-formation. The patient should be
examined from time to time by the digital touch per vaginam and by the
combined vagino-hypogastric palpation for the purpose of determining
the presence of an abscess and its location, so that the proper
treatment may be applied and at the proper time.
These examinations must be conducted with the greatest care and
gentleness, and the patient protected from undue exposure. When the
disease has advanced to the third stage means for the disposition of
the pus should be kept constantly in view, and the case treated as one
of pelvic abscess.
Treatment of Pelvic Abscess.--Authorities differ widely as to the
proper method of disposing of the contents of a pelvic abscess. Some
{223} favor a let-alone plan, believing that Nature is competent to
relieve herself more effectually and better than art can do; others,
equally eminent, believe that the pus should be evacuated when pointing
has positively occurred and made the evacuation easy and safe; while
others, again, more radical in their views, believe that much can be
gained by liberating the pus as soon as it is known to exist, although
it may be deep-seated and as yet have shown no tendency toward
pointing.
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