File:Clinical gyncology, medical and surgical (1895) (14784270172).jpg

Identifier: clinicalgyncolog00keat (find matches)
Title: Clinical gyncology, medical and surgical
Year: 1895 (1890s)
Authors: Keating, John M. (John Marie), 1852-1893 Coe, Henry Clark, 1856-
Subjects: Women Gynecology
Publisher: Philadelphia, Lippincott
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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eir Duration. 1. History: Family History Previous Diseases First appearance Regularity Duration Amount and character Pain, before, during, or afterConfined to bedLast appearance - o - At full term Premature Date. Pregnancy a a < « f AmountJ CharacterI Persistence( Duration Appetite Cause of illness (supposed by patient) 2. Status Prcesens :General Condition Condition of the Nervous System Constitution Breasts Abdomen Vulva Perineum Vagina Broad Ligaments Tubes Ovaries Douglass Pouch Bladder Urethra Rectum Complications 3. Diagnosis : 4. Treatment and Progress : 0 In headIn backIn abdomenIn legsDuring coitusIn sittingIn standing. In walking Labor. Puerperium. UrinationDefecationDigestion PositionSize MobilityShape Depth of Cavityk SecretionPositionShapeLengthDensitySecretionInternal OsExternal OsLacerated METHODS OF GYNAECOLOGICAL EXAMINATION. 31 Form I. represents one which has been found of practical use, especiallyfor out-patient work or routine cases in office practice. Fig. 1.
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Set of rubber outline stamps. Forms II. and III. are more elaborate, and enable the busy practitionerwith a minimum expenditure of time to get a larga number of important 32 METHODS OF GYNAECOLOGICAL EXAMINATION. facts in a convenient form for reference. A useful adjunct to the case-bookis a set of rubber outline stamps of the pelvis in various sections (Fig. 1),in which a sketch of a tumor or a displacement can be drawn, thus servingas an aid to the memory and a standard of comparison if changes in thecondition occur. In the majority of cases no correct inferences as to the nature of thetrouble can be deduced from the verbal statements of the patient. Thedisorders of menstruation, leucorrhcea, pains of various kinds and degree,and general nervous disturbances are common to so many pelvic disordersthat any differential diagnosis based on them alone is impossible. PHYSICAL EXAMINATION. A physical examination is, therefore, essential in a large proportion ofcases. The only general excepclinicalgyncolog00keat

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