File:Interstate medical journal (1907) (14576695739).jpg

Identifier: interstatemedica1419unse (find matches)
Title: Interstate medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ties show the attachment of the omentum. cian, who prescribed and relieved the pain for the time being, but for twodays following she had some pain and headache. There was absolutelyno bleeding from the vagina during the attack. Since that time she hasfelt no foetal movements and at present is somewhat weak and tiredand has some pain in the small of her back. Temperature, 98; pulse, 96;respiration, 22. Accelerated pulse rate was thought to be due to excite-ment incident to leaving her children and coming to the hospital. «No 460 ELBRECHT. evidence of syphilis or rickets; chest, normal; hacteriological examina-tions of vaginal secretions for gonococci, by Gram were negative.Pelvic Measurements; Interspinal—26 cm. Intercristal—29 cm.Bi-trochanteric—31 cm.External Conjugate—20 cm.The abdomen was ovoid and its greatest circumference was 79^ cm.The abdominal wall was of such thickness and tension that palpation wasdifficult, hence the exact height of the fundus was not determined;
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Fig. 2.—Placenta.—Showing the placenta in the distal end of the fallopian tube.A, represents the proximal end of the fallopian tube. B, represents the normal ovary.C, cut section of placental tissue. D, the opening through which the foetus escaped,showing the remnants of membranes. foetal parts could not be outlined and no foetal heart sounds were audibleon auscultation. On vagino-abdominal and recto-abdominal palpation, cervix was foundopen sufficiently to admit one finger. The uterus was central, softenedand enlarged and a large, hard mass was found to the right and slightlyposterior to it. It was slightly movable and gave but very little discomforton pressure. There being no special indication to operate immediately, for the pa-tient was comfortable, she was kept under close observation. A CASE OF TUBAL ABORTION. 461 The several blood examinations made showed, as follows:August 17—Haemoglobin, 85 per cent. Leucocyte Count, 10,266.Erythrocyte Count, 3,876,000.October 16—Haem

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