A treatise on the diseases of women : for students and practitioners / by Palmer Findley.

  • Findley, Palmer, 1868-1964
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases of women : for students and practitioners / by Palmer Findley. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    estimated; but in the l)enif]:n tumor formations, displacements, and malformations, heredity has little or no influence. It is well to inquire carefully into the family history, but its influence should not be over- estimated. Previous Illnesses.—Acute infectious diseases, tuberculosis, and all chronic wastinj-; diseases, anemias, and long-standing lesions of the thoracic and abdominal viscera may both originate and aggravate disorder in the genital tract. General conditions have an important bearing upon the pelvic viscera, not only in aggravating the disorders, but in actually originating them. It therefore becomes imperati\-e to consider carefully all general conditions in relation to their possible bearing upon functional disturb- ances and lesions of the genitalia. Present Complaints.—The complaints of the patient will often serve as a suggestion, but a diagnosis can never be based upon subjective symptoms in the absence of a physical examination. Any or all of the pelvic disorders may exist without subjective symptoms. On the other hand, there may be serious complaints on the part of the patient in the absence of a pelvic lesion. The familiar group of symp- toms—hemorrhage, pain, leucorrhea, constipation, and backache—are common to many altogether dissimilar lesions in the pelvis. Little reliance can be placed upon the complaints of the patient, but the diagnosis must depend in great part upon the physical findings. Symp- toms, at best, are only suggestive of a possible lesion. Menstrual History.—So far the patient has been considered from the standpoint of the general practitioner. It is now necessary to consider more particularly the disorders of the genital organs. HEMORRHAGE FROM THE GENITAL TRACT Hemorrhage from the Vulva Tubal Menstruation Hemorrhage from the Vagina | Menstruation without Ovaries Hemorrhage from the Cervix Menstruation Time of Onset Frequency Quantity Anatomv of Menstruating Uterus Uterine Hemorrhage Systemic Causes Local Causes Character of Discharged Blood Treatment In diseases of women the most significant of all symptoms is hemor- rhage. While not in itself diagnostic, it is of the greatest value as an indication for an immediate and searching physical examination, both general and local. Hemorrhage from the genitalia comes from the vulva, vagina, cervix, body of the uterus, and occasionally from the tubes; never from the ovary except in the case of a tuboovarian'hema- toma discharging its contents into the uterus—a most unusual event. Hemorrhage from the Vulva.—This is the result of trauma, new- formations, ulcerations, lupus, cancroid, and rupture of varicose veins complicating pregnancy. The origin of the bleeding is recognized by direct inspection.