Practical observations on some congestive, inflammatory, and ulcerative affections of the uterus / by Evory Kennedy.

Date:
[1847]
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on some congestive, inflammatory, and ulcerative affections of the uterus / by Evory Kennedy. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    32/50 (page 86)
    countei-irritations had recourse to, and a course of Plummer's pill and Pullna water administered. The ulcer healed, and her health and appearance rapidly improved, with a total re- covery from both sanguineous and muco-purulcnt discharge. Nothing is more striking in these cases of recovery than the change effected in the skin, and its return to the tints of health, from its shrivelled, anxious, and sallow appearance. The fissures that occur from abortions and labour, in the lips of the os, constitute a frequent incipient cause of ulce- ration, which, taking on an unhealthy action, attended with vascularity of the adjoining tissues, spread both within and without. They are sometimes, however, confined to the very margin of the os. These are fissured or linear ulcera- tions (see Fig. 1), which require to be treated with caustics, as those ulcers already described: the caustic should dip well into the bottom of each fissure, as in fissures of the anus, to secure their healing. The small tubercles(a) occasionally observed in the cervix uteri are said to pass into scrofulous ulcers, as in other parts of the body ; but we have been unable to trace the transition so markedly as to justify our ascribing any of those ulcers we have met with to this cause. The genito-urinary mucous membrane is markedly liable to catarrhal affections from cold, or other causes determin- ing to mucous membranes, such as this susceptible structure is in very many cases predisposed to. Thus, as we see in some a liability to nasal, and in others to bronchial or gas- tric mucitis ; so in many females there exists a strong predis- position to its occurrence in the uterus or vagina. Catarrh in the uterus is much more obstinate than this affection in the vagina, and the inflammation of the latter mucous membrane more tedious in resolving itself than that occurring in the nymph* and vulva. Thus, the deeper the seat of the dis- ease the more difficult to cure, a fact which is observed to (a) See Dr. J. II. Bennett’s excellent Practical Treatise. London, 1815.