Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations.

  • Cragin, Edwin B. (Edwin Bradford), 1859-1918
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    65/234 (page 65)
    by nitrate of silver (gr. x-,s.i) applied to the vulva ; bismuth or borax being dusted on between the lotions. II. Gonorrhoeae Vulvitis. What is the etiology ? It i> produced either directly by intercourse with one who has contracted gonorrhoea, or indirectly by soiled linen, instruments, etc. What is the diagnostic value of Neisser's gonococcus, found in the discharge ? Dr. W. J. Sinclair, in his work on '' Gonorrhoeal Infection in Women,' arrives at the following conclusions :— 1. '• If gonococci are present in the discharge from an inflamed mucous membrane, the discharge is of gonorrhoea] origin. 2. u A secretion containing gonococci, when brought into contact with a mucous membrane capable of infection, gives rise with cer- tainty to a gonorrhoeal inflammation ; and conversely, a secretion, whatever its origin may be, which does not contain gonococci, is incapable of giving rise to a gonorrhoeal inflammation. What is the differential diagnosis between gonorrhoeal vul- vitis and acute simple catarrhal vulvitis ? In gonorrhoeal vulvitis, the onset is more violent; more fever, pain and oedema : the inflammation extends up the vagina and urethra : pus can often be pressed out of urethra ; gonococci can be found in the discharge ; often warts or buboes are present, and sometimes gonorrhoeal rheumatism. What is the treatment of gonorrhoeal vulvitis ? Keep patient quiet; give light diet; keep bowels open ; irrigate parts with bichloride L-1000 or 2000, ur ereolin 1-100 or 200 ; then dust with calomel, bismuth, or borax. If discomfort is very great, lead and opium wash maybe frequently applied to the vulva, and patient may take warm sitz-baths. The labia should be kept sepa- rated with lint or gauze smeared with some simple antiseptic oint- ment. If the vulvitis tends to become chronic, apply nitrate of silver, gr. x-5j.