Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    203/332 (page 183)
    4- Fig. The chief Objects of Treatment in this class of case are— 1. To diminish the quantity and fcetor of the discharge; 2. To stay the bleeding at the time or prevent its recur- rence ; To relieve the pain; To treat any complications which may arise during the progress of the disease. 1. The fetid discharge is due to breaking-down and decomposing cancerous tissue: it is apt to produce a condition of saprsemia, in addition to much local soreness from its irritating nature. Should the discharge come from a mushroom- shaped growth, removal by means of a wire ecra- seur, or the knife and scissors, will be sufficient. If there is no distinct mass to be thus treated, scraping by means of a Simon's sharp spoon is indicated (Fig. 105): care should be taken not to excavate too deeply, as the uterus, bladder, rectum, or peritoneal cavity may easily be perforated. _ The application of caustics, such as chloride of zinc paste, 5j ad 3], has been recommended, but in the author's experience more irritation is produced than good done; it may, however, produce a slough, which gradually separates, leaving a granulating surface beneath. The fcetor of the discharge may be neutralised by vaginal douches of sanitas or kreolin; being bland and non-irritating, they are preferable to carbolic or sublimate lotions; a pencil of iodoform and eucalyptus, laid in the vagina and allowed to melt, will tend to cover the mal-odour. An ointment of eucalyptus and vaseline smeared over the vulva relieves the smarting of the ex- coriated parts. 2. To Stay the Bleeding, we have ergot, which may be given in the form of a pill (p. 78) at regular intervals, and locally, plugging of the vagina; this must be carefully performed and gimon's sharp through a Sims's speculum. Iron cotton-wool is spoon, very useful laid on the diseased part. The Paque- lin's cautery may be applied freely to the diseased surface. The use of the curette for the offensive discharge, often temporarily arrests the hemorrhage also. 3. To Believe Pain.—This is only as a rule controlled by some preparation of opium: morphia given by the mouth, rectum, or f