A manual of gynaecological practice for students and practitioners / by A. Duhrssen ; translated and edited from the 4th German edition by John W. Taylor and Frederick Edge.

Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: A manual of gynaecological practice for students and practitioners / by A. Duhrssen ; translated and edited from the 4th German edition by John W. Taylor and Frederick Edge. 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.

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    ■i. Pains.—Their kind, site, association with certain causes (exertion, defaecation, micturition, coitus, men- struation, etc.), their intensity (whether they make the patient incapable of work or bedridden). 5. General Health.—Appetite, digestion, sleep, any disorders of the nervous, digestive, respiratory, and circu- latory systems. Previous illnesses (chlorosis, gonori’hoea, syphilis 1) Any and what previous medical treatment. In many cases the patient tells the physician at once the reason of her visit—she complains of flooding, of discharge, of pain ; or she names directly her suffering—she says she has a “ falling of the womb,” or a swelling in the belly. In such cases, the physician examines the part com- plained of. In women who have been married a long time without having children, it can be taken for granted that the desire for offspring has led to the consultation. In the unmarried, on the other hand, one often finds that the fear of a possible pregnancy brings them to the physician. They generally make vague and (often with- out hesitation) the most untruthful statements, especially with regard to the date of the last menstruation, with the one desire that the practitioner may terminate the preg- nancy by the passage of the sound. The Gynaecological Examination and Minor Manipulations. Examination is usually avoided during menstruation, but when haemorrhage is abnormal examination may be imperative. Sub-mucous myomata are sometimes to be felt during menstruation within the os uteri. In cases of continuous haemorrhage (from abortion or carcinoma) patients do not generally come to be examined. Valuable time is thus frequently lost, because the woman looks upon each loss as menstrual, and therefore awaits its ending.