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CONTENTS.
CHAPTER I.
DISEASES AND ACCIDENTS OF THE LABIA AND PERINEUM.
PAGE
Diseases and Injuries of the Labia and Perineum-Adhesion of Labia-
During Infancy-Causes and Cure-In Adults-Wounds of the Labia
-By Accident-Thrombus of Labia-Edema of Labia-Abscess of
the Labia-Rupture of the Labia during Labor-Treatment-Rupture
of the Perineum during Labor-Effects in different degrees-Preven-
tion-Cure without Operation-Operation for Restoration of Peri-
neum,
17
CHAPTER II.
DISEASES OF THE VULVA.
Diseases of the Vulva-Eruptive Diseases of the Vulva-Purulent Vul-
vitis-Causes-Treatment-Corroding Ulcer of the Labia-Causes
and Treatment-Gangrenous Vulvitis, or Noma-Causes and Treat-
ment-Pruritis Pudendi-Causes and Treatment-Urethral Excre-
scences, .
31
CHAPTER III.
VAGINITIS.
Acute Vaginitis-Causes and Treatment-Chronic Vaginitis-Symptoms,
Local and General-Causes and Treatment-Puerperal Vaginitis-
Causes Symptoms and Effects - Prevention-Treatment-Vesico-
Vaginal Fistula-Causes, General and Exceptional-Vaginal Cica-
trices-Treatment and Operation for Vesico-Vaginal Fistula-After
Treatment, etc.-Recto-Vaginal Fistula-Causes-Symptoms-Effects
-Treatment and Operation for a Cure,
. 40
CHAPTER IV.
MENSTRUATION AND ITS DISORDERS.
Menstruation and its Disorders-General Remarks in reference to the
Function Division of the Subject - Amenorrhoea - Pathological
States, or Causing Conditions of Amenorrhea-Absence of the Ovaria
or Uterus-Congenital or Acquired Atrophy of these Organs-Dis-
eases of the Ovaria and Uterus, Acute and Chronic-General Condi-
tions, as Anemia, Cachexia (Tuberculosis or Scrofula, etc.)—Local
Symptoms-General Symptoms-Chronic Amenorrhoea-Retention
of the Menses caused by Occlusion of some part of the Genital Canal-
Occlusion of the Os and Cervix Uteri, Vagina or Vulva, from Adhe-
sion or Hymen-Symptoms of Retention-Diagnosis-Cases of Ab-
sence of the Uterus-Mode of Diagnosticating the Absence of the
Uterus-Diagnosis of Atrophy of the Uterus-Prognosis-Depends
upon the Causing Conditions-Treatment: Objects are to Remove
Causing Conditions-Of Acute Amenorrhoea: Remove the Inflamma-
tion-Chronic Amenorrhoea-Treatment of-From Chronic Inflam-
mation-From Anemia-From Deficiency of Genital Organs-From
Obstructions to the Flow,
CHAPTER V.
MENORRHAGIA.
Menorrhagia - Definition-Is a Symptom-Pathological Conditions-
When the Genital Organs are at Fault-When Resulting from General
Conditions-When Combined - Chronic Inflammation of Mucous
Membrane of the Uterus, Body, or Cervix, or both—General Inflam-
mation of the Organs-Congestion of the Uterus-Vascular Excre-
scences in Cavity of Uterus-Polypi-Inflammatory Ulceration—
Tumors near the Uterus-The General Conditions are Plethora-
Hemorrhagic Diathesis-Anemia, resulting from Indigestion-Albu-
minuria Scurvy-Impossible always to arrive at Cause-Constipa-
tion-Diagnosis-General Symptoms-Nervous Symptoms-Exami-
nation of the Uterus-Effects on General Health-Prognosis-Treat-
ment-Palliation and Correction-Before Time for the attack-At the
Time-Removal of the Causing Conditions-Local Conditions-Gene-
ral Conditions-Empirical Treatment,
CHAPTER VI.
DYSMENORRHEA.
Dysmenorrhoea-Definition-Painful, but Free-Painful and Difficult of
Flow-Membranous-Pain caused by surrounding Disease-Location
of Pain-Inflammatory-Neuralgic and Membranous-Inflammation
of the Uterus-Of the Ovaria-Degree of Suffering-Description of
Membranous variety-Prognosis-Treatment-Division into Pallia-
tive and Curative-General Treatment-Of Paroxysm-Between the
Paroxysms-General-Local Treatment,
. 90
CHAPTER VII.
METATITHMENIA (MIT2Tiðŋui μnv); OR, MISPLACED MENSTRUATION.
Metatithmenia-Definition and Synonymes-Localities of Effusion—Time
of Effusion-Mode of Occurrence-Connected with Disordered Men-
struation-Occurs sometimes, but rarely at other times-Size of Col-
lections of Blood-Effects: generally Inflammation of various degrees
-Effusion often Removed by Absorption-Sometimes Stationary—
Sometimes induces Suppuration, and thus causing Evacuation-Places
and Mode of Purulent Evacuation-Sometimes causes Peritonitis-
Symptoms-Immediate and Consecutive-Diagnosis-From Perime-
tritis-From Tumors of Uterus-From Ovarian Tumors-From Dis-
placements of the Uterus-From Extra-Uterine Pregnancy-Causes-
Uterine Congestion-Obstruction of the Flow-Prognosis-Effects
and Dangers-May result in Death-Often Protracted-Generally
Favorable-Causes of Death when it occurs-Treatment: to Moderate
the Effusion-To Moderate the Inflammation-To Allay Pain-To
Conduct the Case through the different Steps, and Defend the System
from its Consequences-To Promote the Evacuation-To Evacuate the
Blood and Pus-Reasons for doing so- -Reasons for not doing it,
CHAPTER VIII.
ACUTE INFLAMMATION OF THE UNIMPREGNATED UTERUS.
Acute Inflammation of the Unimpregnated Uterus-Location of Inflam-
mation Causes Symptoms-Duration and Course-Prognosis-
Diagnosis Treatment,.
-
101
112
CHAPTER IX.
CHRONIC INFLAMMATION OF THE UTERUS AND CERVIX.
General Symptoms-Affections of the Stomach-Bowels-Liver Derange-
ments-Nervous System-Cephalalgia-Spinal Affections-Pains in
Pelvic Region-Disorder of Sciatic and other Crural Nerves, with
Pain, Cramps, or Deficiency of Function-Syncopal Convulsion-
Muscular Debility-Disorder of Circulation—Of Respiration-Sympa-
thy of Mammary Glands-Moral and Mental Derangement, etc. etc., 117
CHAPTER X.
LOCAL SYMPTOMS.
Pain in the Sacral Region-Pain in the Loins-Inability to Stand-Pain
in the Iliac Region-Soreness in the Iliac Region-Pain in the Side,
above the Ilium-Weight or Bearing Down, Uterine Tenesmus-
Leucorrhoea, effects of Temporary Excitement upon-Character of
Vaginal Mucus-Amount not always, Proportioned to Amount of
Disease-Yellow Leucorrhoea when there is Ulceration-Ulceration
sometimes exists without Leucorrhoea-How is the Pain produced-
Severity of Suffering not Commensurate with Amount of Disease-
Functions of the Uterus-Pain in Menstruation-Kind of Pain at-
tendant upon Uterine Inflammation-Cramping Pain-Effects of
Partial Closure of Os Uteri on Menstruation-Manner of the Flow
Modified-Duration of the Flow-Menorrhagia frequent in Cervicitis
-Sometimes Amenorrhoea-Generation, how effected-Sterility—
Conditions of Uterus in Abortions-Increased Irritability-Effect
upon Labor-Effects upon Post-Partum Condition,
CHAPTER XI.
ETIOLOGY.
Sexual Indulgence-Reading Improper Books - Cold-Constipation-
Standing Abdominal Supporters-Pessaries-Severe Exercise-He-
morrhoids-Pregnancy-Abortions, from Violence especially—Bad
Management after Abortion-Labor-Decomposing Substances in the
Vagina or Uterus after Labor, or at other times-Vaginitis of In-
fancy and Childhood-Gonorrhoea, etc. etc,
CHAPTER XII.
PROGNOSIS.
Prognosis without Treatment-Not often Fatal-Sometimes indirectly so
-Prognosis of different varieties-Ulceration-Endocervicitis-Sub-
mucous Inflammation, etc.-Prognosis under Treatment-Is the In-
flammation always Curable?-Will General Symptoms always sub-
side?-How long will it take to Cure Inflammation ?-Prognosis as
Influenced by Age of Patient-Prognosis affected by Predisposition
to other Diseases-Prognosis as to Restoration of Uterine Functions
-Sterility-Abortion-Prognosis when Complicated with Consump-
tion, Throat Disease, Skin Diseases, etc. etc.-Prognosis with refer-
ence to Permanency of Cure,
CHAPTER XIII.
COMPLICATIONS OF INFLAMMATION OF CERVIX.
Complications with Vaginitis, Urethritis, Cystitis, Cellulitis, or, as some
call it, Ovaritis-Diagnosis of Cellulitis-Extent of Cellulitis-Cause
of it, etc. etc.-Rectitis-Diagnosis of Rectitis-Stricture of Rectum-
Fistula in Ano-Causes of these Rectal Complications—Prolapse of
the Rectum - Rectocele-Hemorrhoids - Hypertrophy of Mucous
Membrane of the Rectum-Displacement of the Uterus as Complica-
tions-Subsidence in its Natural Axis, or Lapse-Anteversion-Re-
troversion-Prolapse-Theory of Uterine Displacement,
137
. 152
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