A manual of practical obstetrics.

  • Edward P. Davis
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: A manual of practical obstetrics. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    by the uterine sound, or the os dilated to admit examination by / finger; or aspiration of fluid and its subsequent examination \ resorted to. J Amniotic fluid contains— Ovarian fluid contains— Epithelial cells. Epithelial cells. Oil globules. Oil globules. Albumen, but no paral- Granular, non-nucleated bumenor metalbumen. ovarian cells, which be- Meconium (?). come transparent, but Urinary salts (?). not larger, by acetic Sp. gr. 1.005-1.010. acid. Reaction alkaline. Paralbumen.1 Usually clear and limpid. Metalbumen.1 Albumen. Cholesterine. Sp.gr. 1.018-1.024. Usually sticky and tena- From Fibroid Tumors of Uterus. (Fibrous tumors, Fibro- / | mata.)—In uterine fibroids, tumor is (comparatively) harder and more inelastic; it is unsvmmetrical and nodular in out- line; of much slower growth than pregnant womb; is accom- panied with profuse menstruation^ cervix not softened, but may be unevenly enlarged. Positive signs of pregnancy al> sent. .gent. r ' Rarely, fibroids may coexist with pregnancy. Diagnosis: bv physical signs of.pregnancy and results of time. Labor 1 Dr. Thomas (Diseases of Women, fifth edition, 1880, p. 687) gives the following tests : 1. ''Testfor Paralbumen. Leave the fluid at rest in a cool place, filter or decant, and thus separate sediment from supernatant fluid. Pass a stream of carbonic acid gas through this fluid, and instantly a precipitate of fine flocculi of paralbumen will occur. 2 Test for Metalbumen. Digest another portion of this fluid with ab- solute alcohol for three days Filter off the precipitate and heat with dis- tilled water. Filter again, and metalbumen will be precipitated by sul- phate of magnesia. Paralbumen is precipitated from this fluid by a few drops of dilute acetic acid, and redissolved by an excess [While paralbumen, as Dr. Thomas states, will be precipitated by car- bonic acid gas. this is only a property of that substance, not a test. Liquor amnii contains an organic substance—a form of globulin—which is also precipitated by carbonic acid gas.—A. F. A. K.]
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