Pregnancy and operative surgery : their mutual relations / by Louis McLane Tiffany.

  • Tiffany, L. McLane.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Pregnancy and operative surgery : their mutual relations / by Louis McLane Tiffany. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    who beat her unmercifully. On examination, a few superficial excoria- tions were found on the face, an ecchymosis on the abdomen, over right iliac fossa. The uterus lay about two and a half inches beneath the umbilicus. Patient had not yet noticed the movements of child ; no foetal or uterine sounds heard ; no oozing of any kind from the vulva. The neck was large, soft, and velvety, the os transverse, and admitted the end of the finger. Patient complained of pain over seat of ecchymoses, but this pain seemed superficial; no hematuria or bloody stools; palpation of uterus slightly painful. She was ordered rest in bed, and friction with camphorated oil over hypogastrium. On the 15th she left hospital. She had a normal delivery at term. Case XXXIV. (A. Faucon : Loc. cit.')—F., aged nineteen years, entered hospital January, 31, 1882. Began to menstruate at fourteen; had a normal labor fifteen months since ; had no uterine disease. Had her last menstruation on August 6th. During that month, her lover had threatened several times to stab her ; about Christmas time he renewed his threats while under the influence of liquor. She was so frightened that she jumped from a second story window, falling upon the ground; she, however, immediately got up and ran away. Soon after, however, she could no longer walk, and was obliged to remain in bed three weeks. Complained of violent pains over the right hip. For three days after her fall she had a slight bloody flow from the vulva, and also complained of lumbar pains. Womb rose to a point about one inch above umbilicus. Nothing abnormal was found on examination. She left hospital on the 15th, without further complications, and ad- mitted that she had only come there to escape the pursuit of her lover. The story she had related of her fall was, however, found to be true. She had a normal delivery at full term. Case XXXV. (E. Sibois : L' Union Med. du Canada, July, 1887, vol. i. No. 7, p. 345.)—On December 1, 1886, the writer was called to see Mrs. H., who had just had a severe fall. The patient, weighing one hundred and ninety pounds, had fallen, head first, from the top of a wall ten or twelve feet high. When seen, blood was flowing from nose and ears, and she was delirious. Five hours later, in spite of treatment, she was comatose; complete insensibility, dilated pupils, paralysis of bladder and rectum (!), laborious respiration, irregular filiform pulse. Another physician diagnosticated fracture of base of skull, and a hopeless case. At 11 o’clock p.m., respiration became less laborious, and the next morning, fourteen hours after the accident, she was perfectly conscious, and complained of terrible pain in head, neck, and shoulders. I knew
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