On effusions of blood in the neighbourhood of the uterus, or, The so-called periuterine haematocele : a thesis for the M.D. degree / by Henry M. Tuckwell.

  • Tuckwell, Henry M.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: On effusions of blood in the neighbourhood of the uterus, or, The so-called periuterine haematocele : a thesis for the M.D. degree / by Henry M. Tuckwell. 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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    functions of the woman are in the highest state of activity. Thus 4 only were under 20 ; 51 were between the ages of 20 and 30; 17 varied between 30 and 35 ; 16 between 35 and 40; 1 only was above 40. Catamenia. Eemarks made in treating of the sources of haemorrhage have already drawn attention to the fre- quency of its occurrence at the time of, or directly after, the catamenia. It may here be added that a strong predisposition exists in women who have been previously subject to menorrhagia. In 76 cases notice is taken of the condition of the menses at the time of and before the attack; (those cases being excluded in which the haemorrhage depended on obstruction to the exit of the menstrual blood and on extra-uterine foetation) : in 36 of these the first symptoms of the haemorrhage appeared at the time of the catamenial period; in 40 menorrhagia was present at the time of, or shortly before, the attack. Childbirth, Women who have borne children seem to be much more predisposed than those who have not. 58 of 64 w^omen, whose previous history, with regard to this point, is distinctly related, had either borne chil- dren or miscarried. Frevious health. A strong healthy woman is more liable to be attacked than one that is feeble and deli- cate. 53 of 66 are stated to have been previously strong and robust. jExciting,—A glance at the Synopsis will shew in how many cases a violent shock, either of body or mind, at the time of the catamenia, has sufficed to bring about directly the haemorrhage. A blow, a fall, violent exertion, as that of dancing or carrying a heavy weight, a sudden chill applied to any part of the body, or even, in some cases, a sudden fright occurring at the menstrual period in a woman subject to menorrhagia, can all be instanced as exciting causes. SYMPTOMS. The symptoms that mark the occurrence of these sanguineous effusions, though, looked at from a general point of view, the same in all cases, yet differ so materially in degree, according to the amount of blood effused and the rapidity of its effusion, that they may be conveniently set forth in the form of three short descrip- tions or sketches of cases founded on clinical facts. A young woman of naturally good health, but whose menstrual discharge