Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden.

  • Madden, Henry R. (Henry Ridewood)
Date:
[1852?]
Catalogue details

Licence: Public Domain Mark

Credit: Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    little difficulty in arriving at a definite conclusion as to the ex- istence of uterine disease, while on the other hand it is very hazardous to risk one's accuracy of diagnosis, by attempting to decide upon the exact nature and extent of the affection until the case has been submitted to a rigid local examination. It is only by means of the speculum and a digital examination, that we can obtain that precise information-winch is essential ere we can prognosticate the probable result of the case, or, as we shall see presently, ere we can determine the course of treat- ment which offers the best chance of success. When speaking of the pathology of this disease, I should have observed that it occurs with not very unequal frequency in the single or married, and in the latter, whether they have had families or not; the disease presents very nearly the same character in all the three classes of patients, and calls for pretty much the same treatment in each. As, however, any examination of the uterus in the unmarried female, and more esj^ecially when the specu- lum requires to be used, is far too serious an operation to be un- warrantably proposed, it is of great importance that a medical man should be fully convinced of its absolute necessity ere he ventures to have recourse to such an expedient, or even to sug- gest the propriety of its adoption. It is impossible to lay down any rule upon this subject which will apply to all cases, but I may safely observe in a general way, that it will be rarely found necessary to have recourse to such a proceeding when a case first presents itself for treatment. But, if the diligent employ- ment of general means do not effect the desired relief, this very want of success will afford a good foundation on which to ground our arguments as to the necessity of alocal investigation. Professor Simpson, in his paper on retroversion, gives a very clear and concise summary of the symptoms attending that dis- ease, which are, however, so precisely similar to those accom- panying many other non-malignant diseases of the uterus, that with the exception of those produced by the direct mechanical action of the misplaced organ, the description will prove equal- ly apposite to the more comprehensive class of diseases em- braced by this paper. Dr. Simpson remarks, «In retroversion as in other morbid conditions and diseases of the unimpregnated