North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
When the patient applied for advice, she had been sick already four
months, and presented the following symptoms. She was very much
emaciated, and laboured under fever, resulting from a gastro-enteritic
inflammation, kept up by purgatives and deostruents, (_fondans_,) which,
from the commencement of the attack, were prescribed for her. The
ulceration of the mamma was of the size of a five frank piece, unequal
and gray, and gave issue to an ichorous and foetid purulent matter.
The edges were thick and everted, and surrounded with an erysipelatous
inflammation. The whole mamma was large and hard, and the seat of
lancinating pain. Thirty-five leeches were applied around the tumour,
and gave rise to a profuse haemorrhage, which continued many hours. From
this, the patient experienced so much relief from pain, as to be able to
take some repose, of which she had been deprived for some weeks.
Emollient poultices and drinks were prescribed, and a low diet enjoined.
By all these means, the pain was lessened, and the swelling much
diminished. Leeches were again applied, and the other remedies
continued. The wound gradually improved, and in forty five days, was
completely healed.
Mr. P. was called on the 25th of September, 1817, to attend a lady, who
had been affected for two days with uterine haemorrhage, which he
succeeded in arresting. The following history of her complaint was given
to him: she had aborted about 18 months before, and since that time, had
experienced every fortnight an uterine haemorrhage, which generally
lasted five or six days. During the intervals, she complained of deep
seated pain, numbness and cramps, in the lower part of the abdomen, in
the thighs and groins. The pain was much aggravated when she had a
stool--walking, especially when long continued, was painful, and
attended with a sense of dragging, which was only relieved by repose.
From the same period, her disposition had changed from gay and lively,
to melancholy and morose--her digestive functions were slow and
painful--she was affected with leucorrhea, and during coition, felt much
pain, and often lost some blood. On examination per vaginam, it was
found, that the neck of the uterus was elongated--the anterior lip of
the same organ was soft to the feel--the orifice somewhat enlarged, and
painful when the finger was introduced into it. On the inferior lip
there was a small unequal and painful spot, which was regarded as a
superficial ulceration; the uterus was a little prolapsed, and somewhat
enlarged; the pulse small and frequent; febrile exacerbations every
evening; sleep not refreshing, and interrupted by short lancinating pain
in the uterus.
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