File:The diagnosis and treatment of diseases of women (1907) (14597832087).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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te disease, such as typhoid-fever or pneumonia? If there havebeen repeated miscarriages, inquire carefully and circumspectly as to evidences ofsyphilis. Have the miscarriages been brought about intentionally (criminal abor-tion)—if so, in what way? Was each miscarriage complete and no trouble following? When incomplete,part of the fetal membranes are retained in the uterus and cause apersistentbloody discharge. Sepsis also may occur. Sterility. When the patient has been married a long time and there has been no pregnancy,it is well insome cases to inquire as to why there has been no pregnancy. PREGNANCIES. MENSTRUATION Menstrual History, How old was the patient when she began to menstruate? Has the menstruationbeen regular and of proper duration and amount and free from severe pain- Ifthere have been menstrual disturbances—for example, absence of the menses orexcessive menstruation or irregular menstruation or inter-menstrual bleeding—ascertain the duration and severity of each.
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Fig. 12. Indicating pain in the region of thestomach. Fig. 13. Indicating pain in tlie liver. Last Menstruation. Invariably ascertain the date and duration of the last menstruation, that preg-nancy may be excluded. Disturbances of Other Organs. Inquiry should be made as to indications of diseases in remote organs, eithercomplications of the pelvic trouble or intercurrent diseases. If the patient gives any symptoms pointing to disease of remote organs—for ex-ample, of the heart or lungs or gastro-intestinal tract— those organs should beexamined. In case of serious disease, and in all cases where an anesthetic is to begiven, an examination of the heart and lungs and abdominal viscera is imperative. 10 TAKING THE HISTORY The condition of the patients blood, as indicated by her color, and the conditionof the nervous system, as indicated by her appearance and actions, should be con-sidered, and, if there is evidence of disease in either direction, further investigationshould be carried

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