. The diagnosis and treatment of diseases of women. f sepsis or of laceration of the pel-vic floor or cervix uteri. 8 TAKING THE HISTORY If after any labor the patient was sick in bed for two or three weeks, with pain in the lowerabdomen and fever, she probably had sepsis in some form, the usual form being septic endome-tritis. Another very common history of mild sepsis is that the patient gets up as usual, but doesnot feel strong, and after a few days takes a backset, and returns to bed or drags about thehouse with soreness in the lower abdomen, some fever and marked weakness. Of course, dela
. The diagnosis and treatment of diseases of women. f sepsis or of laceration of the pel-vic floor or cervix uteri. 8 TAKING THE HISTORY If after any labor the patient was sick in bed for two or three weeks, with pain in the lowerabdomen and fever, she probably had sepsis in some form, the usual form being septic endome-tritis. Another very common history of mild sepsis is that the patient gets up as usual, but doesnot feel strong, and after a few days takes a backset, and returns to bed or drags about thehouse with soreness in the lower abdomen, some fever and marked weakness. Of course, delaysin convalescence after labor may be caused by complications outside the genital tract, but gener-ally they are due to some trouble in the genital tract, such as infection of the uterus or subinvolu-tion of the uterus or laceration of the pelvic floor. Miscarriages. Have there been any miscarriages? If so, how many and when, and at whatstage of pregnancy did each occur? What was the cause of each miscarriage? Did it follow some accident or was it. Fig. 10. Indicating pain in right tubo-ovarianregion. Fig. 11. Indicating pain in the appendiceal region. due to some acute disease, such as typhoid-fever or pneumonia? If there havebeen repeated miscarriages, inquire carefully and circumspectly as to evidences ofsyphilis. Have the miscarriages been brought about intentionally (criminal abor-tion)—if so, in what way? Was each miscarriage complete and no trouble following? When incomplete,part of the fetal membranes are retained in the uterus and cause apersistentbloody discharge. Sepsis also may occur. Sterility. When the patient has been married a long time and there has been no pregnancy,it is well insome cases to inquire as to why there has been no pregnancy. PREGNANCIES. MENSTRUATION Menstrual History, How old was the patient when she began to menstruate? Has the menstruationbeen regular and of proper duration and amount and free from severe pain- Ifthere have been menstrual di
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