On diseases of women and ovarian inflammation : in relation to morbid menstruation, sterility, pelvic tumours, and affections of the womb / by Edward John Tilt.

  • Edward John Tilt
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: On diseases of women and ovarian inflammation : in relation to morbid menstruation, sterility, pelvic tumours, and affections of the womb / by Edward John Tilt. 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.

    163/340 (page 139)
    CHAPTEE XIII. ON SUB-ACUTE OVAEITIS. Inflammation is more frequently sub- acute than acute. Stn.— Clironic ovaritis; secondary pelvic inflammation. — Dr. Kennedy. Abdominal inflammation—Menstrual colics—Amenor- rlioea—Dj^smenorrhee hysteralgiqne.—G-endrin. Dysmenorrlicea— Menoi'rliagia—Hysteria. Dee.—Swelling of the ovaria, v^ith increase of lieat, and pain upon pressure, accompanied by intermittent or permanent pain or uneasi- ness in tlie ovarian region, radiating to the loins and tbighs, and pro- ducing, according to the constitution of the patient, an arrest of menstruation, or its profuse S.o'w, intense local pain, or hysterical symptoms. We are not called upon to inquire into the nature of inflammation, and accepting the term as it is usually defined, we submit that in the present state of oiu' knowledge it would be unjustifiable presump- tion to deny the existence of inflammation, except when proved by purulent or solid deposits. When mucous membranes are inflamed, as in gleet or ophthalmia, the anatomist can often discover nothing but doubtful hyper^emia. Mr. Simon, in his paper on Sub-acute Inflammation of the Kidney—Transactions of tlie R. M. and 0. Society—correctly ob- serves, that what is notoriously true for mucous membranes is no doubt equally so, though less notoriously, in respect to glands. ]No intestinal effusion of lymph need exist in a gland to Avarrant us in accounting it inflamed; its inflammation may consist only in functional derangements, and may be recognised by admixing its albuminous products with those of normal secretion; but while a mucous membrane sheds its inflammatory secretions, and gets rid of them, the glands are embarrassed by tlie retention of these secre- tions, and thus an irritation, insignificant as it may be, on a mucous memlDrane in a gland, may serve to originate its complete disorganisa- tion. Leaving the reader to apply to the ovary Mr. Simon's train of rea- soning on sub-acute inflammation of the kidney, we proceed to state