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Cyclopedia of Obstetrics and Gynecology

Abdominal Palpation
Abdominal Palpation. First Described By Mercurius Scipio In 1•01, Then By Dionis, Roederer, Smellie, And Baudelocque, Abdominal Palpation Was Not Considered Of Much Use To The Obstetrician, When Wigand, In 1813, Attempted To Show Its Importance And To Fix Its Rules. After Him Joerg, Schmidt, Hohl, Velpeau, Devilliers, Chailly, And ...

Abdominal Pregnancy
Abdominal Pregnancy. If An Ovum Falls From A Graafian Follicle Or From The Smaller Fimbria3 Of The Ovary Into The Abdominal Cavity, And Is Or Becomes Impregnated And Continues To Develop, Abdominal Pregnancy Is Produced. In Opposi Tion To This Idea Is That In All Of The Described Cases Of ...

Abdominal And Uterine Pains
Abdominal And Uterine Pains. Abdoniinal, Lumbar, And Inguinal Pains. These Pains, To Which Cazeaux Has Particularly Called Attention, Hardly Appear Before The Last Months Of Pregnancy. They Are Generally Circum Scribed And Limited To The Lower Part Of The Thorax, To The Origins And Insertions Of The Abdominal Muscles Or ...

Abnormal Communications With Tiie
Abnormal Communications With Tiie Uterus. The Uterus May Open Into The Cloaca.; This Has Been Seen In The New Born, But Not In Adults. Thus, J. F. A. Wolff Describes A Ease In Which The Double Uterus Opened By A Vagina Duplex Into The Common Excretory Duct Of The Genital, ...

Abnormal Plication Of The
Abnormal Plication Of The Cervical Cavity. This Is A Peculiar Developmental Defect Of The Cervix, In Which In Stead Of The Norn-ial Arbor Vital, A Broad Thick Fold Projects Into The Lumen Of The C,anal, Giving The Impression Of A Second Vaginal Portion Filling The Cavity Of The Cervix. (see ...

Abnormal Shape And Position
Abnormal Shape And Position Of The Female Urethra. 1. Abnormal Dilatation Of The Urethra May Affect Its Entire Length, The Surrounding Tissues Giving Way Upon All Sides: Dilatatio Urethrte Totalis; Or It May Be Limited To A Portion Of The Canal, Usually The Central Part, While The Orificia Extersum And ...

Abnormal Uterine Contractions
Abnormal Uterine Contractions. The Uterine Contractions May Be Exaggerated, Diminished, Or Irregular: And Although The Exaggeration Of The Pains Does Not, As A Rule, Produce Any Other Result Than Too Rapid Termination Of Labor, It May On Account Of This Very Fact Become A Source Of Different Accidents To The ...

Absence And Atrophy Of
Absence And Atrophy Of The Cervix Uteri. As A Rule These Conditions Are Considerpd In Connection With Acquired Gynatresias, Under The Heading Of Hematometra, Since The Conse Quences And The Treatment Of Both Are Very Much Alike. This May Be Practical, But It Is By No Means A Scientific Or ...

Absence Of The Mammary
Absence Of The Mammary Glands (amazia) And Supernumerary Mammary Glands (polymazia). Froriep And Schlozer Saw Congenital Absence Of The Breast With Coincident Absence Of The Greater Portion Of The Pectoralis Major Muscle And A Union Of The Third And Fourth Ribs With The Sternum. An Infantile Appearance Of Both Mammary ...

Acquired Atresias And Stenoses
Acquired Atresias And Stenoses. Their Most Frequent Cause Is Un Doubtedly Puerperal Necrosis And Ulceration; As Is Proven By The Extensive Literature Of Acquired Vaginal Atresia.' In The Thirty-six Cases Which Trask Has Collected, Not Less Than Fifteen Were Due To Childbirth. As Is The Case With Vesico-vaginal Fistula, It ...

Action Of The Maternal
Action Of The Maternal Blood On The Vitality Of The Retus. We Have Seen, In The Article On The Respiration Of The Fcetus, That There Is An Exchange Of Materials Between The Fcetus And The Mother Through The Placental Villosities. As Zweifel, Gusserow, Runge And Porak, Have Shown, Certain Soluble ...

Active Foetal Movement
Active Foetal Movement. Besides The Communicated And Passive Movements Of The Fcetus, Which Constitute Ballottement, The Embryo Shows Proper And Spontaneous Or Active Motions. It Is Hardly Until Four, Or Four And A Half Months, That Active Foetal Movements Are Perceptible To The Mother; And Even Then It Is Only ...

Acute And Subacute Mastitis
Non-puerperal, Acute And Subacute Mastitis. Outside Of Its Periodic Function It Has No Marked Tendency Toward Inflammatory Processes. When Such Processes Occur, Their Only Known Causes Are Rubbing Of The Nipple Against The Clothes, Pressure, Blows And Falls Upon The Gland; In Some Cases There Is No Particular Cause To ...

Adenoma True Hypertrophy And
Adenoma (true Hypertrophy) And Cysto-adenoma. The Differentiation Of Adenoma From Many Other Tumors Of The Breast Is Unusually Difficult. If The Development Of The Gland-vesicles With For Mation Of Hollow Spaces Be Regarded As The Most Important, Thing For The Establishment Of Adenoma Or True Hypertrophy Of The Gland, Still ...

Adhesions Of Tiie Placenta
Adhesions Of Tiie Placenta. The Two Most Complete Works Upon This Subject Are Those Of Van Lyn Seele, And Of Regan The Latter Found Adhesions In Cases Of Abortion, Of Premature Labor, And Of Delivery At Term, And Showed Them To Be Due To Such Pathological Processes As Degeneration Of ...

Affections Of The Bones
Affections Of The Bones. • Fracture's. The Fractures Which Are Seen In The Foatus May Be Produced In Utero, Or May Result From Traumatisms Occurring During Delivery. We Shall Only Consider The First Variety. Intra-uterine Fractures Are Due To A De Fect Of Ossification, To The Non-union Of The Osseous ...

Affections Of The Rectum
Affections Of The Rectum And Of The Urethra. Engelmann Has Utilized Galvanism In Case Of Hemorrhoids And Of Pro Lapse Of The Rectum. In Case Of The Former He States: " In Case Of Smaller Hemorrhoidal Tumors, As In Thickening Or Prolapse Of The Membrane, I Have Used Recto-abdominal Galvanism, ...

Albuminuria
Albuminuria. Albuminuria, Albuminuria Of Piorry, Bright's Disease, Consists, Jaccond Says, In A Disturbance Of The Renal Secretion, Characterized By The Presence Of Albumin In The Urine. Considered From The Standpoint Of Pregnancy, It May, According To Dumas, Be Presented Under Two Very Different Forms: " One, Which Is Entirely And ...

Albuminuria Of Labor
Albuminuria Of Labor. Under This Name, We Understand Not Only Albuminuria Recognized Dur Ing Labor, But, According To Hypolitte, Peter, Dumas, Cassin, Albuminuria Of The Two Or Three Days Which Immediately Precede Labor. It Appears Essentially Dependent On This Act, Begins And Ends With It, And Its Duration And Intensity ...

Alveolar Giant Celled Sarcoma
Alveolar Giant-celled Sarcoma. Mrs. Josefa F., 42 Years Old; Had Had Several Children And Nursed Them. She Consulted Me First In November, 1876, On Account Of A Tumor As Large As The Fist Which Had Existed A Few Months In The Right Breast. This Tumor Had Large Nodules, Was Lobulated, ...

Alveolar Melano Sarcoma
Alveolar Melano-sarcoma. Mrs. M. M., 68 Years Old, First Seen July 12. 1869; Noticed The Begin Ing Of A Tumor In The Right Breast Three Years Previously; A Nodule Had Formed Externally To And Below The Nipple; She Had Borne Ten Children, But Had Nursed None Of Them. Menstruation Was ...

Anastiietics In Normal Labor
Anastiietics In Normal Labor. Since Both The Usefulness And Safety Of Both Ether And Chloroform In The Lying-in Chamber Are Now Universally Admitted, We Omit This Resume, And Reproduce Simply The General Conclusions.—ed.] Chloroform In Labor Is Administered Either In Surgical Or In So-called Obstetrical Dose. Surgical Dose.—it Is Thus ...

Anatomico Physiological Introduction
Anatomico-physiological Introduction. And While In The Human Embryo The Union Of The Miihenan Ducts Takes Place At A Very Early Period, And Is Completed Ac Cording To Dohrn By The Ninth Week Of Embryonal Life,' The Differentiation Of The Simple Genital Canal Into Uterus And Vagina Does Not Occur Until ...

Anatomy Of Sarcoma Of
Anatomy Of Sarcoma Of The Uterus. That Term Is Now Usually Applied, At Least In Germany, And According To The Classification Of Virchow, To All Those Tumors Which Be Long To The Connective-tissue Series, And Are Characterized By Abundant Proliferation Of The Cellular Elements Which More Or Less Displace The ...

Anatomy Of The Breasts
Anatomy Of The Breasts. They Form Soft Hemispherical Projections Above The Surface Of The Body, And Extend, When Well-developed, Vertically From The Third To The Seventh Rib, And Horizontally From The Edge Of The Sternum To The Anterior Border Of The Axillary Space; Being Situated For The Most Part On ...

Anesthesia
Anesthesia. Particularly In Women Are We Liable To Error In This Respect. Slight, Tenderly Nurtured Women Often Readily Bear The Most Painful Operations Without The Slightest Complaint, While Robust And Courageous-looking Women React Greatly On The Least Manipulation. Here Two Factors Are Always To Be Taken Into Account: The Individual ...

Anomalies And Abnormalities
Anomalies And Abnormalities. First Period.—as There Aro Oblique Vertex And Face Presentations, So May There Be Oblique Presentations Of The Pelvic Extremity, Which Give Rise To Difficulties In The First Period, Which Become Greater In Proportion As The Presentation Of The Pelvic Extremity Is Less Complete. Descent, Moulding And Flexion ...

Anomalies In The Mechanism
Anomalies In The Mechanism Of Labor. First Period.—flexion.—this Movement Rarely Fails, But, When It Is Absent, It May Transform A Physiological Into A Pathological Labor. Or Dinarily, The Anomalies Consist In An Exaggeration Or In A Diminution Of This Flexion. These Are The Anomalies Which Constitute, According To The German ...

Anomalies In The Mechanism_2
Anomalies In The Mechanism Of Face Presentations. Irregularities In The Mechanism Of Face Presentations Are More Liable To Occur Than In Vertex Cases, And Are Manifested In The Different Periods. First Period. —the Anomalies Of This Stage Are Better Called Deviations From Or Varieties Of The Regular Face Presentations. Thus, ...

Apparent Death Of The
Apparent Death Of The New-born Infant. 1st. If The Infant Be Born Feeble, But Breathing Well, It Requires No Special Attention. If, On The Contrary, It Breathes With Difficulty, Its Body Should Be Rubbed With A Piece Of Warmed Flannel: There Should Be Added To The Bath Vinegar, Wine, Eau-de-cologne: ...

Applications Of The Forceps
Applications Of The Forceps In Face Presentations. The Face, Even As The Vertex, May Lie At The Level Of The Inferior Strait, In The Cavity, At The Superior Strait, Above It. Usually, In Each Of These Instances, The Head Is Diagonal Or Transverse. The Antoro-posterior Di Ameter Of The Pelvis ...

Applications To The Uterus
Applications To The Uterus. Clay, Gautier, Gubler, And A Number Of Recent Writers, Have Insufflated Powders Into The Uterus. We Cannot See Any Advantage In This. More Frequently The Pencils (crayons, Bacili) Recommended By Becquerel And Rodier Are Used, And They Are Either Inserted Into The Cervical Canal Or Into ...

Areolar Hyperplasia And Chronic
Areolar Hyperplasia And Chronic Endometritis. It Will Be Convenient To Consider These Affections Together, Since Their Treatment By Electricity By Modern Methods Is Very Similar. Areolar Hyperplasia, The So-called Chronic Metritis, Is Ordinarily The Result Of Sub Involution. Exceptionally, However, It Is Met With In The Unmarried And The Sterile ...

Artificial Delivery Through The
Artificial Delivery Through The Natural Pas Sages As A Substitute For The Post-mortem Clesarean Section. The Choice Of Operative Method Will De Pend Upon Which Of These Conditions Is Present. 1. Labor Has Begun; The Cervix Is Dilated Or Although Delivery By The Natural Passages, As A Substitute For The ...

Artificial Impregnation
Artificial Impregnation. Impregnation Demands Activity Of Both Sexes, Yet Copulation Is Only For Directly Ejaculating Semen Within The Female Organs, And To Facili Tate Contact Between The Ovule And The Spermatozoa. Copulation Is Not Indispensable, For There Are A Number Of Well-authenticated Cases Where Women Have Been Impregnated Without Insertion ...

Ascites
Ascites. The First Symptoms Of Ascites Manifest Themselves Sometimes During The First Months Of Pregnancy, More Often Toward The Fifth Or Sixth Month, Rarely Later. It May Be Produced Slowly, Gradually, Or, As We Have Seen In One Case, Rapidly. In This Last Case, Moreover, The Quantity Of Effusion Into ...

Atrophy Of The Uterits
Atrophy Of The Uterits. These Re Mains Vary In Size And Shape, According To The Extent And Grade Of The Injury, And The Stage Of Development At Which It Makes Itself Felt. Be Sides This, The Rudimentary Structures Do Increase In Size After The Injuri Ous Influence Has Commenced To ...

And Anus Pileternaturalis Vaginalis
Ileo-vaginal Fistul2e, And Anus Pileternaturalis Vaginalis. When Coils Of Intestine Are In Fistulons Communication With The Vagina., Then Either The Continuity Of The Intestine Is Entirely Broken By The Fistula And The Upper End Of The Intestine Discharges Its Contents Into The Vagina, Anus Preeternaturalis Vaginalis, Or Else The Continuity ...

And The Diagnostic Excision
Artificial Dislocation Of The Uterus, And The Diagnostic Excision. To Effect This Prolapse, A Double Or Multiple Tenactilum Is Fastened Into The Vaginal Portion Of The Cervix, And Strong Downward Traction Is Exerted In The Axis Of The Pelvis. Strong Sutures Passed Through The Cervix Were Substituted For The Tenacula ...