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THE TREATMENT OF PELVIC INFLAMMATIONS.

THE TREATMENT OF PELVIC INFLAMMATIONS. In the management of cases of chronic pelvic inflammation the accurate diagnosis is a highly essential element, without which the practitioner is entirely at a loss to know what to do and what to leave undone. The differentiation between the various conditions apparently identical to the touch requires a careful review of the history and symptoms, and experienced tactile sense and frequently repeated examinations at various intervals. If a careful examination were made under anæsthesia, in the exaggerated lithotomy position, whenever the diagnosis was not sufficiently clear, many false conclusions could be eliminated. There would then be fewer cases of pelvic exudations treated as uterine displacements by the use of the sound and pessary; the number of uterine fibroids, so gracefully and rapidly dispersed by electrolysis would in a degree diminish, and pelvic cellulitis would be relegated to its proper place in pathology as a phlegmonous inflammation. If there is http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

THE TREATMENT OF PELVIC INFLAMMATIONS.

JAMA , Volume XII (18) – May 4, 1889

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Publisher
American Medical Association
Copyright
Copyright © 1889 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1889.02400950004001a
Publisher site
See Article on Publisher Site

Abstract

In the management of cases of chronic pelvic inflammation the accurate diagnosis is a highly essential element, without which the practitioner is entirely at a loss to know what to do and what to leave undone. The differentiation between the various conditions apparently identical to the touch requires a careful review of the history and symptoms, and experienced tactile sense and frequently repeated examinations at various intervals. If a careful examination were made under anæsthesia, in the exaggerated lithotomy position, whenever the diagnosis was not sufficiently clear, many false conclusions could be eliminated. There would then be fewer cases of pelvic exudations treated as uterine displacements by the use of the sound and pessary; the number of uterine fibroids, so gracefully and rapidly dispersed by electrolysis would in a degree diminish, and pelvic cellulitis would be relegated to its proper place in pathology as a phlegmonous inflammation. If there is

Journal

JAMAAmerican Medical Association

Published: May 4, 1889

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