Volume 1

A system of obstetric medicine and surgery : theoretical and clinical for the student and practitioner / by Robert Barnes and Fancourt Barnes.

Date:
1884-1885
Catalogue details

Licence: Public Domain Mark

Credit: A system of obstetric medicine and surgery : theoretical and clinical for the student and practitioner / by Robert Barnes and Fancourt Barnes. 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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    healthy, showing no icteric symptoms. Lactation was also carried out healthily. On the tenth day after labour a free eruption of \u'ticaria broke out, covering the trunk, arms, and legs. It disappeared in three days. This lady made a perfect recovery, and has had several children without complica- tion. Here there was only functional disturbance of the liver. Ficinus' gives a case in which jaundice recurred in four suc- cessive pregnancies. Another case exhibits the disorder in a different form. A young lady, A. C, had an abortion shortly after marriage. In her second pregnancy she suffered much from vomiting during the first five or six months. During the seventh month she was harassed by colicky pains and diarrho?a; crops of aphthous ulcers formed in the mouth; the mouth at times was so sore that eating was almost intolerable; she became ema- ciated and anaemic. The diarrhoea was greatly controlled by nitric acid, cusparia, and laudanum. She still further improved under the use of peracetate of iron. Nevertheless during the last month two or three fluid pale stools were passed dailj'^, and the skin had a marked icteric tinge. She was delivered easily at term ; child healthy. The very next day the stools, which had hitherto been white, consisted almost entirely of bile. She seemed relieved for a time, but soon febrile excitement set in, ending in violent mania. Under temporary seclusion she recovered perfectly, and has borne children since without trouble. A distressing complication of jaimdice is pruritus. The itching of the skin is sometimes intolerable. The treatment of this form is simple. Alteratives, mercurial and saline are indicated. Unless urgent symptoms occur, the question of inducing labour does not arise. The following is a characteristic case of the so-called ac\de yellow atrophy of the liver not hitherto published. Mrs. J., set. 35, was seen in consultation with Dr. Asher in 1863. She has had several natural pregnancies. Did not suffer much from sickness until the fifth month of the present pregnancy, then vomiting became at times very distressing, and was followed by jaundice and great prostration. On September ] 5 the icteric tinge was very marked ; pulse 80; it had been ' ' Zur Casuistik des Icterus grjividaruin,' Monatssclt.f. GelurUh. 1863.