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Cyclopedia of Obstetrics and Gynecology

Respiration And Pulmonary Capacity
Respiration And Pulmonary Capacity. Winckel, Who Believes The Normal Respiratory Rate To Be 16 Or 18 The Minute, Has Found During The First Fourteen Days, In 16 Cases, 16 Respira Tions, In 1 Case 17, And In 6 Cases 18 Respirations Per Minute. Wild Sims Finds A Higher Mean, 23 ...

Respiratory Apparatus
Respiratory Apparatus. The Changes Are Either Mechanical Or Chemical. 1st. Mechanical Changes. — Kuchenmeister, Fabius, Wintrich And Dohrn State That During Pregnancy The Base Of The Thorax Widens, While The Vertical And Antero-posterior Diameters Diminish. The Reverse Occurs After Delivery. They Say That This Diminution And Increase Compensate One For ...

Rupture Of The Of
Rupture Of The Of Avoiding It. It Is Important That The Perineum Should Suffer No Laceration. Former Ly, It Was Advised To Support The Perineum Directly By Putting The Hand Upon It, The Thumb On One Side Of The Vulva, The Other Fingers On The Other Side, The Posterior Commissure ...

Ruptures Of The Vagina
Ruptures Of The Vagina. Usually There Is Tension And Stretching Of The Walls Of The Canal Up To The Limit Of Distensibility; Or Sharp Or Pointed Bodies May Penetrate From Without. Among The Traumatic Causes Of The Awident Are Falls Upon The Genitals And The Entrance Of Foreign Bodies (see ...

Sa Rcoma
Sa Rcoma. The Recognition Of This Variety.of New Growth In The Vagina Belongs To Very Recent Times. It Appears In The Form Of A Circumscribed Round Tumor In The Sub-mucous Tissue, And Also As A Diffuse Superficial Degeneration Of The Vaginal Walls. Without Question Instances Of The First Sort May, ...

Secondary Puerperal Hemorrhage
Secondary Puerperal Hemorrhage. Hemorrhages Of This Nature Are Less Grave Than Those We Have Just De Scribed, But They May Be Serious In Their Complications. When Primary Inertia Has Been Overcome, We Must Not Fall Into The Error Of Believing Our Patient Safe, For Frequently Secondary Inertia Sets In. If ...

Sequele Of Mastitis
Sequele Of Mastitis. After Every Acute Or Chronic Abscess Of The Breast, Fistulae May Remain. The Immediate Causes Of These Fistule Are Faulty Escape Of Pus On Account Of A Too Narrow Opening Or Valvular Closure Of The Same, Fungous Or Un Healthy Granulations In The Abscess Cavity; Anemia, Great ...

Serous Diathesis Ascites Dropsies
Serous Diathesis-ascites-dropsies. Among The Morbid Phenomena Which Are The Result Of Disturbances Of The Circulating System, Must Be Mentioned First The Dropsies Of Pregnant Women, Which Have Their Seat In The Cellular Tissue, And May Extend Even To The Great Serous Cavities. Stolz And His Pupils Thierry, Lauth, Schindler, Wished ...

Shape Of The Head
Shape Of The Head In Vertex Presentations. The Moulding Experienced By The Head In Passing Through The Pelvis Is Of Two Kinds, One Affecting The Soft Parts, And The Other The Cranium. The Former Constitute The Caput Succedaneum, And The Latter The True Cranial Distortions. Caput Succedaneum. This Is A ...

Signs And Diagnosis Of
Signs And Diagnosis Of Pregnancy. The First And Most Important Of All Is The Suppression Of The Menses, But It Is Only Of Value In Women Who Are Usually Very Regular In Their Monthy Periods. In A Certain Number Of Females There Occurs During The First Months Of Piegnancy A ...

Signs And Diagnosis Of_2
Signs And Diagnosis Of Twin Pregnancy. The Signs Of Twin Pregnancy Are Either Probable Or Certain. ' We Shall First Discuss The Probable Signs. The Size And Shape Of The Abdomen Are Peculiar In Certain Cases. There Is Generally, A Greater, Abdominal Development In Twin Pregnancies Than Would Be Expected ...

Simple Cedema
Simple Cedema. Causes.—the First Chief Cause Consists In The Changes Of The Blood, Particularly If There Is A Local Or General Congestion, A Febrile State, Severe Or Slight. Age And Child-bearing Have No Influence, But It Is Not The Same With Privation, Fatigue, Moral Influences, Living In Unhealthy Dwellings, Dampness—in ...

Soft Sa Rcoma Ry
Soft Sa Rcoma. Ry Sarcoma. Soft Sarcoma Seldom Occurs In The Breast, Though I Have Seen The Fol Lowing Cases Of This Group Of Tumors. A Medullary Granulation (round-celled) Sarcoma, Perhaps Only Acciden Tally Combined With The Development Of Striated Muscular Fibres, I Have Seen Only Once (arch. F. Path. ...

Special Provisions Required By
Special Provisions Required By Each Presentation. Vertex Presentation. Since The Vertex Presentation Is The Most Favorable, It Will Require The Least Special Care. Ordinarily, The Accoucheur's Part Is Passive; He Confines Himself To Encouraging The Patient, To Advising Resignation Mid Patience, And Explaining That He Not Only Cannot, But Must ...

Sporadic Affections
Sporadic Affections. Pneumonia. We Have Seen, In Studying Tho Changes Induced In The Body By Preg Nancy, That Kuchenmeister And Others Have Proved That The Pulmontuy Capacity Is Not Lessened During This Condition—that If The Thok-ax Is Not So Deep, This Diminution In Depth Is Compensated For By The Increase ...

Spurious Pregnancy
Spurious Pregnancy. Pregnancy Exists Or It Does Not Exist. Spurious Pregnancies Are Only Errors In Diagnosis. We Can Not Do Better Than To Give Here An Analysis Of The Remarkable Article Of Our Master. Pajot Divides The Errors Into Three Principal Classes. 1. Diagnosis Of Pregnancy When It Does Not ...

Stages Of Pregnancy
Stages Of Pregnancy. It Is Almost Impossible To Determine, Month By Month, The Stage Of Pregnancy. Accurate Knowledge About The Beginning Of Pregnancy Is Usually Lacking. Between The Last Normal Menstrual Epoch And The First Missed Menstruation There Is An Interval Of At Least Three Full Weeks, During Which Conception ...

Statistical Inquiry Into The
Statistical Inquiry Into The Frequency Of Oc Currence Of The Various Diseases Of The Fe Male Urethra And Bladder _ _ The Reports Of The Large Hospitals Are, However, Too Imperfect To Be Of Much Assistance. Thus The Medical Report Of The Imperio-royal General Hospital In Vienna Of 1874, Those ...

Stenosis Of The Cervical
Stenosis Of The Cervical Canal. For The Treatment Of Stenosis (including Atresia) Of The Cervical Canal The Galvanic Current Would Seem, From The Testimony Of Those Who Have Tested It, To Be Preferable To Either Incision Or Dilatation. Engelmann Claims That It Is The "mainstay Of The Surgeon." Comparing It ...

Sterility In General
Sterility In General. There Is No Small Difference Between The Animal And Human Species In The Promptness With Which Conception Is Caused By Co Habitation. If We Only Congider Here The More Highly Organized Animals, We Find That Usually One Cohabitation, At Least At The Time Of The Sexual Excitement, ...

Sterility Of The Male
Sterility Of The Male. This Division Into Two Group- S, It Is True, Does Not Rest Upon A Patho Logical Basis, Which At The Present Time Is Rightly Niade The Chief Criterion In Classifying Diseases And Functional Disturbances, And Which We Have Also Followed In Speaking Of The Causes Of ...

Striocellular Myoma Rhabdomyoma Myx0matodes
Striocellular Myoma.--rhabdomyoma Myx0matodes. There Exists Only A Single Observation Of This Form Of Tumor. It Was Removed From A Strongly Built Girl Of Fifteen, Who Had Not As Yet Men Struated, Who Came To Seyfert's Clinic At Prague In 1869 For The Relief Of Difficult Micturition. On Examination A Polypoid ...

Sub Cutaneous And Parenchymatous Injections
Sub-cutaneous And Parenchymatous Injections. Originally Hildebrandt Used The Ergotin Of The German Pharmacopeia, Dissolved In Water And In Glycerine. Wernich Prepared A Pure Dialysate Of Ergotin; Dragendorff Recommended Sclerotinic Acid, Which In My Hands Has Been Productive Of No Results, As Well In Man As In Animals; Latterly Marckwald Has ...

Sudden Death In The
Sudden Death In The Puerperal State. Although Puerperal Affections Ordinarily Manifest Themselves Under One Or Another Of The Forms Which We Have Described, It Is Not Always So, And It Suffices To Refer To The Descriptions Given Of Puerperal Fever By The Older Writers, And To The History Of Different ...

Super Involution
Super-involution. This Condition Is The Opposite Of Sub-involution. In The One There Is Incomplete Retrograde Metamorphosis, In The Other There Is Excessive. The Uterus Is Smaller Than Normal Instead Of Larger; Amenorrhea, Instead Of Metrorrhagia, Is An Accompaniment. The Amenorrhea Need Not Be Absolute, However; There May Be A Slight ...

Sur Invollfion Of The Uterus
Sur-involl"fion Of The Uterus And Of The Vagina. Under The Term Sub-involution We Understand That Relaxed, Congested State Of The Uterus And The Vagina Which Is So Often Met With After Labor At Term And Abortion. The Condition Is A Sub-acute One, As We Speak Of It Here, And Has ...

Symphyseotomy
Symphyseotomy. Morisani, Of Naples, Read A Paper On The Subject Before The London International Medical Congress, 1881. To Quote From This Symphyseotomy Has Been Practised Fifty Times At Naples, Twice On The Same Woman, With The Following Results: 40 Women Saved, 10 Dead, 20 Per Cent; 41 Infants Saved, 9 ...

Symptoms And Complications Of
The Course, Symptoms And Complications Of Uterine Fibroids. The Morbid Manifestations Naturally Vary According To The Size And Location Of The Fibroids. In The First Place It Is A Noteworthy Fact That A Not Inconsiderable Number Of These Tumors Develop No Symptoms At All During The Life Of Their Bearer& ...

Symptoms And Course Of
Symptoms And Course Of Soft Sarcoma Of The Breast. The Four Cases Reported Show Already How Little Infectious Soft Sarcoma Of The Mamma Depends Upon Age: The Cases Were In The 14th, 31st, 42d And 65th Years. As Regards The Course Of These Tumors, The Reported Cases In Literature Are ...

Syphilis
Syphilis. It Is Not Possible To State How Often The Vagina Is The Seat Of Syphilis, Since Often In The Recorded Cases The Presence Of The Disease In The Vagina And On The Cervix Are Confounded. For Both Together E. Klink, From His Personal Observation And From A Search Through ...

Syphilitic Infiltration Of The
Syphilitic Infiltration Of The Mamma. Mastitis. That Different Forms Of Syphilides May Extend Over The Skin Of The Mamma Is Self-evident, And In Themselves They Have Nothing To Do With Disease Of The Mammary Gland. The Presence Of Syphilitic Ulcers Of The Nipple Has Already Been Mentioned. That Gummata Occur ...

Syphilitic Lesions Of The
Syphilitic Lesions Of The Placenta. It Is Only Recently That Syphilitic Affections Of The Plaea3nta Have Been Studied. Duchamp Has Given The Best Resunti Of The Subject. He Shows That While Astruc, In 1796, Recognized Abortion As A Consequence Of Syph Ilis, Murat First, In 1820, Noticed Certain Bla.ck Spots ...

Tact Presentations
Tact Presentations. The Average Frequency Thus Varies, According To Different Authors, From 1 In 147 (minimum) To 1 In 247 (maximum). As For The Vertex, We Ad Mit Two Chief Positions, M.i.r. And M.i.l., With Their Varieties, Viz., Anterior, Transverse And Posterior. The Position M.i.r. Seems To Be More Frequent ...

Tete Diagnosis Of Sterility
Tete Diagnosis Of Sterility In General. Male Sterility Indeed Is Certainly Less Frequent, But Still The Percentage Is So High That Really In Deciding Upon The Cause Of Sterility The Condition Of Both Parties Should Be Equally Inquired Into. Only Where The Deficiency Of One Party Is Very Striking Should ...

Tfie Inflammatory Affections Of
Tfie Inflammatory Affections Of The Vagina. Various Circumstances, Which Have Been, And Still Are, Active, Suffice To Explain Our Slow Rate Of Progress In This Field. Even The Minuter Structure Of The Healthy Vagina, And The Occurrence Of Glands And Lymphatic Follicles In It, Are Subjects Which Yet Occupy Anatomical ...

The Actual Cautery
The Actual Cautery. In Gynecology Heat As A Caustic Agent Is Almost Uniformly Used In A Glowing State. Since Its Recommendation By Jobert, It Has Found Favor With Aran, Becquerel, Chalvat, Chiari, Gallard, Grenet, Greenhalgh, Grfinewald, Hegar And Kaltenbach; Hoppe, Joseph, Lauri's, Olshausen, Scanzoni, Spiegelberg, Veit, And Others. Only Exceptionally ...

The Anatomy Of Myo Fibromata
The Anatomy Of Myo-fibromata Or Fibroid Tumors Of The Uterus. The Tumors Of The Uterus Commonly Known And Described As Fibroids, Are Chiefly Composed Of Smooth Muscular Fibres, Or, More Correctly Speaking, They Consist Of The Same Histological Elements As The Uterine Walls Themselves, Riz., Unstriped Muscular Fibres And Connective ...