Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
2. _Morning Sickness._--Nausea, often ending in vomiting, generally
occurs soon after rising in the morning, and may commence almost
immediately, but more frequently not till the expiration of the fifth
or sixth week after conception. It is not a reliable sign, and is often
very irregular in its occurrence. When present, it varies in degree,
from a feeling of nausea to the most violent vomiting, very distressing
to the patient.
3. _Salivation._--The excessive secretion of the salivary glands,
due to the irritation caused by pregnancy, was first mentioned by
Hippocrates as a sign of this condition. “It is to be distinguished
from ptyalism induced by mercury, by the absence of sponginess and
soreness of the gums, and of the peculiar fœtor, and by the presence of
pregnancy.” It is oftener absent than present.
4. _Mammary Sympathies._--As the breasts may enlarge from various
causes--such, for instance, as the distension of the uterus from
hydatids, or, as is the case with some women at each menstrual period,
when the catamenia are suspended, or after they have ceased--this is
by no means a sign on which much reliance should be placed. The change
in the colour of the nipple and areola, more apparent in women of dark
complexions, is more to be relied on as a diagnostic sign of pregnancy.
The first observable alteration, which occurs about two months after
conception, is “a soft and moist state of the integument, which appears
raised, and in a state of turgescence, giving one the idea that, if
touched by the point of the finger, it would be found emphysematous.
This state appears, however, to be caused by infiltration of the
subjacent cellular tissue, which, together with its altered colour,
gives us the idea of a part in which there is going forward a greater
degree of vital action than is in operation around it; and we not
infrequently find that the little glandular follicles, or tubercles as
they are called by Morgagni, are bedewed with a secretion sufficient to
damp and colour the woman‘s dress.”
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