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.

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    Pain, with discharge . „ haemorrhage, and discharge (Incontinence of urine . (General malaise in 1 „ or 2 „ ) in 1 „ or 2 „ ) in 2 cases, or 4 per cent, in 2 „ or 4 „ This differs from the proportions deduced from 166 cases in Dr. West's last edition of his work ' On the Diseases of Women/ 1879, p. 375, which give for the cases commencing with haemorrhage unaccompanied by pain the percentage of 46*3; for the cases commencing with pain only the per- centage of 18'0 ; for those of haemorrhage with pain the per- centage of 13-8; for those of pain with discharge 9*0; for those of discharge without pain 12*6. But if we add his cases in which pain with or without other symptoms was present as a first symptom we get a total of sixty-eight, or all but 40 per cent., while mine similarly treated give a total of twenty-five, or 50 per cent. Something must be allowed for the memory in these cases ; it is impossible to arrive really at the first symptom noticed; we cannot get further than the first symptom remembered. Where any symptom was believed by the patient to have definitely preceded all others, even by a short interval, I have noted that symptom only. With regard to those which were stated to have commenced with pain, I have the following comments to make: One patient aged fifty had had a flooding five years previously before the menopause, but no other symptoms till five months before admission. In this case I decided to disregard the haemorrhage. In two cases pain, haemorrhage, and discharge were noticed at the same time; this may have been the case in one or two others. The commonest seat of the first pain is extremely variable^ and my notes do not enable me to make any statements with regard to it. I would refer to the table of pain felt in one locality only and the remarks accompanying it. The cases in which pain was present as a first symptom were as above stated twenty-five, or 50 per cent. Those in which haemorrhage was present as a first symptom, with or without