The mechanical system of uterine pathology : being the Harveian lectures delivered before the Harveian Society of London, December 1877 / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: The mechanical system of uterine pathology : being the Harveian lectures delivered before the Harveian Society of London, December 1877 / by Graily Hewitt. Source: Wellcome Collection.

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    various phenomena. The suffering, and the cause of the suffering, must be ascertained; the symptom and the lesion must be placed in the proper relation one to the other. It must be shown that the pain or inconvenience from which the patient suffers stands in proper relation to this, that, or the other alteration of the uterus. This analysis of symptoms has been hardly attempted, the chief attention of uterine pathologists having been directed solely to the discussion of the uterine changes—the presence of inflamma- tion, the presence of so-called ulceration, and the presence of congestion, each one of which has in turn been put forward as the important patholo- gical condition of the uterus ; and these have occupied much attention, but little has been done to determine the relation of these changes one to the other, or with the view of ascertaining the connection of particular lesions with particular symptoms. I have drawn up two lists, the first (A) a hst of the symptoms of all kinds which may be observed in connection with diseases or affections of the uterus, these symptoms being placed as nearly as possible in their order of frequency. The second (B) is a list of the various physical changes which the uterus may undergo. A. Uterine Symptoms. i\. Spontaneous. . '2. Produced by motion (dyskinesia). 13. Undue sensitiveness of uterus to V touch. Leucorrhcea. Dysmenorrhoea. Menorrhagia. Amenorrhoea. [If married—Sterility, abortions.] Various reflex phenomena: 1. Sickness or nausea. 2. Hysteria. 3. Convulsions. 4. Cephalalgia. 5. Melancholia. Disturbance of functions of bladder. Disturbance of functions of rectum. Disturbance of sexual functions (dyspareu- nia). B. Uterine Changes (non-organic). Change in position. Change in size of ■walls. of cavity, of cervix. Change in shape. Change in patency of canals. Change in texture. Undue hardness. Undue softness. Increased vascularity. Disorders of innervation. Increased secretion.