A treatise on the diseases of females / by William P. Dewees.

  • William Potts Dewees
Date:
1831
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases of females / by William P. Dewees. 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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    The discharge from wound considerable, but extremely fetid. Fever diminished—poultice continued. 6th. Freer from pain and fever ; urine free—fetor of the dis- charge extreme. Four or five ounces of coagulum dislodged by gently and firmly pressing the external and inferior portion of the tumour. Poultice continued. 7th. Nearly free from pain ; fetor of discharge diminished ; the tumour lessened in size. More of the coagulum discharged by the same means. Fever nearly gone—urine free; bowels con- fined. Salts repeated. Sth. No pain—can turn on either side—fever gone—fetor less, though the discharge is considerable. 15th. The coagulum entirely evacuated—healthy pus ; fever, none ; fetor gone. From this time the parts healed kindly, and in the sixth week they were entirely well. Her strength much improved by the bark in decoction, and the elixir vitriol. I at- tended this lady with several children after this time, without the smallest accident happening to the parts. Case III.—1809, August 30th. Mrs. C. was delivered about 5 o'clock, P. M. of a large first child, after a labour of six hours. The midwife left her about an hour after, as well as is common. At 10 o'clock, the same evening, I was sent for in great haste, in consequence of a large and sudden swelling taking place soon after the midwife had taken her leave. Upon inspection, the left labium was found much distended, very livid, and extremely painful. The distention or tumour not so great as in the pre- ceding case; this however was, perhaps, in a degree, owing to my having been sent for immediately after the part was observed to swell, and its further progress interrupted by my puncturing the tumour in several places, which gave opportunity for a con- siderable quantity of the thinner part of the blood to escape from them, which afforded some relief, or at least prevented further distention. The part was ordered to be covered with a soft bread and milk poultice, and as she was suffering much pain, a full dose of laudanum was directed. 31st. Still in great pain ; high fever, and the tumour as large as it was the preceding evening, and vesicated as in the former case. Directed the loss of blood ; made an incision the whole length of the tumour, which afforded much relief. The charcoal poultice was ordered, and the urine relieved as in the former case. Matters remained pretty much the same until the
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