Clinical lectures on diseases peculiar to women / by Lombe Atthill.

  • Lombe Atthill
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on diseases peculiar to women / by Lombe Atthill. Source: Wellcome Collection.

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    whatever cause arising, subinvolution sooner or later gives rise to very troublesome and distressing symptoms of which menorrhagia is the most prominent and alarming, the one, too, for the relief of which we are most frequently consulted. I cannot better exemplify this affection, than by calling your attention to the case of C. D., who is still in hospital. She is forty-three years of age, has had six children. Her health has never been good since the birth of the last, ten years ago, shortly after which she noticed that menstruation was much more profuse than formerly] for a long time back each period had lasted for not less than ten or twelve days, returning after an interval of only a fortnight. On admis- sion she complained of debility, of great pain in her back, of irritability of the bladder, and consequent straining and tenesmus, she also suffered from profuse leucorrhcea. The effects of this long continued drain was manifest in her appearance; you must have remarked how perfectly ex- sanguine she was. I expressed the opinion from the history of the case, dating as it did from immediately after labour, that the menorrhagia would probably be found to depend on subinvolution, and that the irritation of the bladder was re- flex, depending on an unhealthy condition of the mucous membrane lining the uterus, which would probably be found to be rough and granular; this opinion was confirmed by the fact, that the os and cervix uteri were healthy, while the sound proved that the cavity of the uterus was elongated to the extent of about three inches. I shall by and by refer to the treatment you saw me adopt in the case ; for the present it is sufficient to say, that she will leave the hospital in a day or two, after a stay of but three weeks, cured of an affection of ten years' standing. But the mischief resulting from imperfect involution of the uterus does not end here, for this abnormal state of the
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