A practical text-book of the diseases of women / by Arthur H.N. Lewers.
- Lewers, Arthur H. N. (Arthur Hamilton Nicholson)
- Date:
- 1891
Licence: Public Domain Mark
Credit: A practical text-book of the diseases of women / by Arthur H.N. Lewers. Source: Wellcome Collection.
27/496
![Have you any pain wiih it ? ]^nquiry is to be made whether the pain is before the flow begins, or during the flow, or after it. If, as often happens, the pain is not sharply limited to one or other of these periods, we should find out when it is at its worst. Also ascertain the seat of the pain, e.g., the back, hypogastrium, or one or other ovarian region. The following' questions should also be asked :— Is the pain co?istant, or laorse at times P Does the pain shoot dotvn the legs ? Is it reliev(d by lying down ? Particularly enquire whether the patient has always had the pain since she first began to menstruate, or whether it has only affected her for a hmited time, i?.^., since the birth of the last child, or since she married. Is the discharge a good colour ? i.e., red. Do you lose much P Two women may menstruate for the same number of days each period, but one may lose much more than the other each day. Are there any clots or shreds in the discharge P Having learned how menstruation has been per- formed since the beginning of the illness; we now go on to ascertain how the function was performed previ- ously, to see if there has been any alteration. We ask: — When were you first poorly in your lifetime P Supposing the patient to say she was fifteen at the time, we ask between fourteen and fifteen ? or *' fifteen and sixteen ? Did you come on quite regular at first, or a/ter seeing it once did it leave you for some months P Either alternative is equally physiological. We then ask as before, whether she was quite regular B 2](https://iiif.wellcomecollection.org/image/b2039598x_0027.jp2/full/800%2C/0/default.jpg)
