Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden.

  • Madden, Henry R. (Henry Ridewood)
Date:
[1852?]
Catalogue details

Licence: Public Domain Mark

Credit: Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    that is to say, when the dilatation only extends part of the waj up the cervical canal, we may conclude, that to this ex- tent only has the inflammation advanced. Or, again : it the dilatation only reaches to the os uteri internum, leaving tho co-arctation at this point in its normal condition, we may then conclude that the disease is limited to the canal of the cervix, and that the interior of the uterus remains unaffected. 3. Ulceration, more or less extensive, of the lips of the uterus constitutes a third stage in the severity of this disease. In strict language, it would, perhaps, be better to call these granulated abrasions than ulcers, seeing that they seldom present any excavation, and but rarely do the granulations project above the general level of the surface. Uterine pa- thologists have spoken of several different kinds of ulcer as occurring in this region, but, for practical purposes, three va- rieties only require to be noticed, viz., the simple, which I have just described; the sypliilitic, which, according to Dr. Bennet, is of much rarer occurrence than is generally sup- posed ; and the phagedenic, which is a much graver disease, is of by no means frequent occurrence, and is most usually associated with cancer, or some other malignant disease of the uterine tissues. These two latter varieties will not be ex- amined or discussed in the present paper. 4. A fourth stage of severity may be noted, when, in conse- quence of the inflammation affecting the deeper tissues of the uterine neck, there has occurred more or less extensive infiltra- tion into the cellular tissue, and consequent enlargement of this organ, giving rise to induration and irregularity of the cervix which may or may not be accompanied by ulceration. This induration has often led medical men to give a very unfavoura- ble prognosis of a case, and to suspect the existence of schirrus • it is of great importance, therefore, that we should bear in mind the characteristics by which simple inflammatory induration may be distinguished from the graver malady. Dr. Bennet describes these very well, in the first edition of his work on