Aids to obstetrics / by Samuel Nall.

  • Nall, Samuel.
Date:
1913
Catalogue details

Licence: In copyright

Credit: Aids to obstetrics / by Samuel Nall. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    WHITE LEG m morphia subcutaneously. If the temperature runs high, quinine is useful. Constipation, if present, should be relieved by castor oil or enemata. To Favour Absorption.—After the acute symptoms have subsided the patient should be kept to her bed, and blisters may be applied locally. When pelvic abscess results and points in any direction, it should be emptied by the aspirator, or opened by the knife and dressed antiseptically. Whilst suppuration is going on plenty of nutritious food should be given, and stimulants if necessary ; tonicr. and cod-liver oil are often of service. THROMBOSIS AND PHLEGMASIA ALBA DOLENS—WHITE LEG Two forms of thrombosis are met with in the puer- perium, an aseptic and a septic form. The former is the more uncommon, and occurs generally in cases where there are tortuous varicose veins in the vulva or legs. The septic form is not uncommon, and as a rule affects the femoral vein of one side, usually the left. It depends upon the spread of thrombosis from the pelvic veins. When the venous thrombosis is ac- companied by an inflammatory condition of the pelvic cellular tissue, sufficiently intense to block the lym- phatics as well, phlegmasia alba dolens is the result. True phlegmasia is a very rare condition, but throm- bosis of the femora] vein is not at all uncommon. Symptoms.—Acute pain near or along the vein, accompanied by febrile symptoms (pulse 120, tem- perature 101°, thirst, anorexia, etc.), prt^cedes the swelling. The swelling generally begins in the groin, and by spreading downwards may involve the thigh or
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