Excerpt from The London Medical Gazette, Vol. 16: Being a Weekly Journal of Medicine and the Collateral Sciences; Vol. II. For the Session 1834-35
Sometimes arises as a sequela to the aﬂec tion last described, and at others originates independently of previous congestion. It also usually follows a lingering or artificial labour, or one in which the placenta has been removed by the introduction Of the hand, and commences within a day or two after delivery. It is ushered in by one or more rigors, varying in intensity, which are speedily succeeded by increased heat of skin, accelerated pulse, dryness of the mouth, furred tongue, and other symptoms of inﬂammatory fever. If no remedial means are applied, the disease may spread to the peritoneum, involving that mem brane in _a most dangerous degree of vas cular excitement; or the inﬂammation may subside by resolution, or gangrene of the organ may occur, or pus may be formed, either in the structure Of the uterus itself or in the cavities of the large venous reser voirs, denominated sinuses.
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