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.

    75/712 (page 35)
    whether in diminution or excess; also, if there be menor- rhagia, to know whether any slight discharge continues in the intervals between the periods, and its quantity. If the patient has been regular and has ceased to be so, we look for some cause for the first irregularities, as indiscretion in exercise, in dress, in bathing, perhaps mental shock or emotion, or climate, or period of life. Discharges.—I shall have occasion more fully to refer to the diagnostic importance of uterine and vaginal discharges m another chapter. I may here briefly refer to the cha- racter of the discharge which influences the judgment of a practical physician in forming his opinion on any case during examination. A discharge may be in character mucoid, purulent, muco-purulent, sebaceous, sanguineous • it is described as creamy, flaky, thick and viscid, gelatinous transparent, and acid • in colour, greyish, white, yellow or brown; at times it is tinged with blood, or it may be of an olive-colour j it may have a heavy odour or be extremely foetid, or on the other hand, odourless. All these qualities as we shall see, indicate, more or less, the source and nature of the discharge. Our opinion is fortified or verified by a microscopic examination, when the presence of pus and the kind of epithelium, whether squamous or columnar can be determined. ' Appliances necessary for Diagnosis.-It is necessary 1ZT n ^°bjeCtS gahied by the USe of the aPP^nce; already alluded to as required in a careful diagnosis Bed or Couch -In order to make a correct diagnosis we have to proceed as follows : The patient is either in bed or on a couch. For all gynecological examinations I prefer r/n0 ?Ta; °f ?°0de11 ^ - his 'Lessons n have a 1 / ; 1 rd eXamiin« C0Uches ^nld have a dip of three inches at the head, so as to raise '-he hips; and by means of a lever handle the upholstered