On the pain in pelvic cancer and its relief by morphia : illustrated by fifty cases / by Francis Henry Champneys.

  • Champneys, Francis Henry, Sir, 1848-1930.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: On the pain in pelvic cancer and its relief by morphia : illustrated by fifty cases / by Francis Henry Champneys. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/26
    noticed was fainting at a monthly period five months ago, then pain began and returned at every period. For the last two months the pain has been continuous. Seat of pain.—Above pubes, opposite each external abdominal ring ; from the right ring through to right poste- rior superior spine j also along course of right sciatic nerve as far as ham ; nowhere else. Duration : dysmenorrhoea five months, continual pain two months. Quality : in groins dragging ; from right inguinal ring to sacrum ^^darting^^; down back of right thigh sharp and burning. In- tensity : pain down leg, makes her scream, cannot sleep half-an-hour together. Time : worst at night. Symptoms of nerve affection.—At night a sensation travels all along the course of the right sciatic nerve, from the hip to the toes; the thigh becomes flexed on the abdomen, the knee on the thigh, and the toes are flexed en griffeJ^ At the same time a gnawing pain begins at the upper part of the back of the thigh and extends as far as the ham along the back of the thigh, no further. The paroxysm of pain and spasm lasts about three minutes : it occurs once or twice every nigiit, never by day. She can walk and use her leg quite well, but sitting hurts her. During the nocturnal attacks the right leg becomes hot to the hand, and her husband complains that it burns him; no redness nor swelling. She can feel in her legs and feet as well as ever. External soreness over right external ring, over right posterior superior spine, in upper part of vulva (where there is no pain except on pressure). Frequent micturition: no complaint. Bleeding: six weeks. Relief with bleeding: pain is worse than usual before the bleeding; during the bleeding the pain in sacrum is very bad ; she feels relieved when the bleeding is over. Ofi'ensive discharge : none, no discharge at all. Sweating : none. Three days after her first visit she returned to say that her left leg had been attacked exactly like the right, the attack had lasted an hour, the leg burnt like the other, and was drawn up just in the same way. She added to her former account one of painful sitting,'^ when she sits it 3