Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones. Source: Wellcome Collection.

    210/712 (page 164)
    various chalybeates—a course of syrup of iodide of iron, or Parrish's food ; regulate the child's diet, and avoid all trash, such as sweets, cakes, or fruit; let the child have proper baths, sea-bathing, and warm underclothing. Simple uncomplicated leucorrhoea rarely produces irrita- tion of the vulva, or any pruritus or eczematous inflamma- tion, while we frequently find such conditions attendant upon vaginitis and discharges of a purulent or acrid nature, both from the uterus and vagina. (See 'Vaginitis.') In children, however, scrupulous cleanliness should be enforced, and the vulvar orifice inspected regularly, lest there be any irritation consequent upon the discharge. Note. While much careful discrimination has to be exercised, there is such a contingency as the following : A very intelligent young prac- titioner brought to me an unmarried girl (accompanied by a married sister), suffering from amenorrhoea, with attendant anaemia, gastric symp- toms, 'leucorrhcea, flatulence, etc. She had taken various remedies without avail. No examination had been made. I hinted at the pos- sibility of pregnancy, but was assured it was out of the question. The chance of a flexion or version being present suggested a digital exami- nation I was surprised to find the girl far advanced in pregnancy Insisting, then, on making a complete examination, we were satisfied she was at least in the eighth month of pregnancy. She had so laced and dressed as to deceive all about her, including her mother, married sister and physician. The story tells its own moral. More recently I was asked to see a lady who asserted she never had, from his inability, complete intercourse with her husband. She complained of her general health being impaired as a consequence, and of the presence of a tumour. On examination, I found a yielding but unruptured hymen. _ She was exceedingly nervous lest I should destroy the proof, by examination of the incomplete nature of the conjugal act. On placing my hand on her abdomen my suspicions were aroused. I examined her breasts, and found in them milk. She insisted she was not pregnant. I could not hear the foetal heart. But despite the presence of the hymen, I was confident of the pregnancy, and so gave my opinion to her solicitor. She was in due course delivered of a living and healthy child.