The puerperal diseases : clinical lectures delivered at Bellevue Hospital / by Fordyce Barker.

  • Benjamin Fordyce Barker
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: The puerperal diseases : clinical lectures delivered at Bellevue Hospital / by Fordyce Barker. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    der/ repeated, if necessary, in four or five liours; but, in most cases, ten grains of Dover's powder, a tea-spoonful of elixir-paregoric or Dewees's camplior-julep, will prob- ably accomplisli the result as well. Sometimes, a day or two after labor, severe after- pains are excited by the presence of flatus in the intes- tines. In these cases, the abdomen is tympanitic, and a slight touch causes severe pain, while the uterus cannot be felt. If the pressure be steadily increased, the pain diminishes until it entirely disappears. If the hand be now suddenly lifted up from the abdomen, the pain at once returns with great violence. If the ]3ain, tym- panitis, and tenderness on pressure, be due to inflam- mation of the peritonseum, the greater the pressure, the greater the pain. The after-pains due to flatus are most speedily relieved by turpentine-stupes and turpentine- enemata. There are, also, some rare cases of after-j^ains which I have met with, that seem to be purely neuralgic in their character. There is no distention or tenderness of the abdomen, nor is the uterus enlarged. On the contrary, it is very firm, but quite sensitive on pressure. There is an entire absence of other symptoms, such as febrile reaction and constitutional disturbance, which attend inflammation of the pelvic organs. These neu- ralgic pains do not seem to yield to opiates in the full- est doses; but within a few years past I have treated them successfully by quinine, internally, and the appli- cation of chloroform-liniment externally. I generally ' tully's powder. If,. Pulv. g. camphor., ^ Oretee pp., I aa 3j. Pulv. glycyrrli., ) Moi'phite sulph., gr. j. M. Dose.—The same as the Dover's powder.
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