Cyclopaedia of the Practice of Medicine Volume 10

Cyclopaedia of the Practice of Medicine Volume 10

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1875 edition. Excerpt: apt to be very slight or wholly absent, especially if we remember that there are pains in the back and a feeling of pressure in the belly in almost all diseases ofthe uterus. More severe pain sets in when the infiltration has extended to the connective tissue of the pelvis, and, in fact, it usually is worse the larger and harder the growths become; so that we find the severest pains in those carcinomata in which the ulceration is slight and occurs late, and when infiltrations of a board-like hardness fill the whole pelvis. To be sure, this is not invariable, so that we occasionally meet with the most intense pains in cases where the cancer consists almost wholly of ulcerated surfaces, and the reverse is also true. To these pains, which are dependent on the growth of the carcinoma itself, and which are often of a piercing, lancinating character, are added those referable to peritonitis from the formation of inflammatory adhesions, so soon as the neoplasm encroaches upon the peritoneum. Uterine colic may also be very troublesome. Sometimes exceedingly violent pains of this kind, occurring at intervals, may be occasioned by the new growth constricting the cervical canal, so that the secretions of the uterine cavity are retained. A slight degree of haematometra or hydrometra may even be caused by occlusion of the cervix. The peculiar hardness of the abdominal integuments, so characteristic of the later stage of carcinoma, is caused in great part by the pain. The muscles at that period are constantly on the stretch, and the intestine somewhat distended, so that the integnments present a peculiar sensation of rigid hardness. The appearances which remain to be mentioned are developed by the advance of the disease to the neighboring more

Product details

  • Paperback | 186 pages
  • 189 x 246 x 10mm | 340g
  • United States
  • English
  • black & white illustrations
  • 1236902181
  • 9781236902184