An inaugural dissertation, on phlegmasia alba dolens puerperarum : submitted to the consideration of the Hon. Robert Smith, provost ; and of the regents of the University of Maryland: for the degree of Doctor of Physick / by Charles S. Davis, of Baltimore County, honorary member of the Baltimore Medical Society.
- Davis, Charles S.
- Date:
- 1815
Licence: Public Domain Mark
Credit: An inaugural dissertation, on phlegmasia alba dolens puerperarum : submitted to the consideration of the Hon. Robert Smith, provost ; and of the regents of the University of Maryland: for the degree of Doctor of Physick / by Charles S. Davis, of Baltimore County, honorary member of the Baltimore Medical Society. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![move it, excrutiating pain is the consequence, with a disposition to faint, so that you are compelled to let it remain at rest. It is also so tender that the bed clothes can not be permitted to touch it without giv- ing severe pain. When the swelling arrives'at its acme, which is in about twenty-four or forty-eight hours, the limb is nearly twice its natural size—the skin is more of a deadly than a natural colour. It is very smooth, shining, hard and elastic. The swelling is equal and general, all over the limb [except where the glands are situated, which are hard tumors] it is much harder than in an anasarca, it is not so cold in any state of the disease, nor does it pit when pressed upon by the finger. No water issues out when punctured with a lancet, nor does it diminish by an horizontal position. One, or both the lower extremities, may be attack- ed together, or separately. When the latter is the case, after the disease has remained in one leg for a length of time, and the symptoms have abated and our patient appears to be fast recovering, the other leg is attacted very suddenly, without any evident cause for it. The disease then runs the same course in the second limb, that it did in the first. The limb first diseased does not appear to be influenced by the tumefaction of the second. The disease never at- tack both limbs at the same moment, but it is often complicated in both at the same time. There is very often a coldness felt in the second limb before the disease commences. The patient bears the second attack much better than the first, though its more severe. A long time often elapses before the swelling en-](https://iiif.wellcomecollection.org/image/b21113750_0014.jp2/full/800%2C/0/default.jpg)
