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.

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    eyes. The pain in the right thigh had left her, but that in the right ovarian region ])ad returned with more intensity than before. There was difficulty in passing water. On making a digital examination, Ave found that the womb was lower down than on the 2nd of June, and that its neck was swollen, and painful in its posterior half; no leucorrhoea. The patient was ordered to continue the former treat- ment, and, in addition, to have, twice a day, as an enema, a cupful of clear starch, in each of which enemata were to be exhibited forty drops of laudanum. 12th.—Four enemata had been administered to the patient, and the pains had disappeared. VVe subsequently ascertained that at the next period she menstruated after her usual manner. The painful uterine swelling detected on tlie 9th of June was cer- tainly secondary to that of the ovary, since, on the 2nd, the womb w^as found healthy. Case 47.—Charlotte K. called October 18, 1849. She was about twenty-six years of age; her constitution being lymphatic, but her hair and eyes dark. In childhood she had several abscesses in one of her legs and groin. Menstruation appeared at fourteen, but at sixteen was suspended, from her catching cold; and when it did return it was three-weekly instead of monthly, as before. It was either profuse or scanty, and preceded for a week by great pain in the ovarian regions. Pressure, Avalking, or stooping, aggTavated this pain. This state lasting for several years, had brought dyspepsia, palpitation, hysterical symptoms, and there Avas often leucorrhoea, Mr. Pughe, of Aberdovey, in iSTorth Wales, considering the case to be one of chronic ovaritis, sent her to us. Digital examination Avas so painful, that we contented ourselves with having ascertained that the vagina and neck of the womb Avere swollen, hot, and inflamed. Pressure on the ovarian regions was also very painful. Leeches had been applied to them a fortaaight previously, and with great benefit; we therefore ordered twelve more to be applied, prescribing the usual treatment, with the addition of aloes pills, and cold-water injections per rectum. Oct. 28th.—We were able to make a speculum examination, and ascertained that there was no ulceration of the womb, whicli we were led to expect from the persistence of many symptoms Avhicb usually indicate it. Wlien the finger in the vagina Avas directed toAvards either of the ovaries, a sickening pain was determined; and when the left hand was pressed moderately on the ovarian region, so as to com- press tbe mass of intervening tissues betAveen both hands, the pain iDecame intolerable. This patient was for several months under our care. After each menstrual epoch, six leeches were applied to each ovarian region ; when the leech-bites had healed, a blister was applied to the same part; and wbeu these were healed, the same surface was anointed with mercurial ointment until the time wben menstruation made its appearance. Peb. 13, 1850.—She was Avjthout pain or discharge, an,d menstruation had assumed its normal type, completely losing the prolonged pains by whicli it had been accompanied. She returned to Wales quite well.