. A system of obstetrics . s be-come spou prominent, and fluctuation becomes distinct at an early order to feel it, it i- best to fix the breast againsl the chest with thehollow of one hand and examine the swelling with the other hand andsome of the fingers of the first, or to compress the breast fromside to side with one hand andpress with the index of theOther on the prominent diffuse form has notreceived much attention, butis a very dangerous < 1 i -* •;i—» ?.A- a rule, it begins a- erysip-elas, and extends from theskin inward to the subcutane-ous tissue. If left to its
. A system of obstetrics . s be-come spou prominent, and fluctuation becomes distinct at an early order to feel it, it i- best to fix the breast againsl the chest with thehollow of one hand and examine the swelling with the other hand andsome of the fingers of the first, or to compress the breast fromside to side with one hand andpress with the index of theOther on the prominent diffuse form has notreceived much attention, butis a very dangerous < 1 i -* •;i—» ?.A- a rule, it begins a- erysip-elas, and extends from theskin inward to the subcutane-ous tissue. If left to itself, itmay break through the skin inmany points; large shreds tdead connective tissue soakedin pus may be pulled out :and, finally, the whole mam-mary gland may appear as dissected at the bottom of the ulceration. 2. The glandular variety is by far the most frequent When theopposite ha- been stated it i- probably due to the circumstance that the 1 Winckel : WochenbeU Krankhcitm, 2d ed., Berlin, 1869, p. ov CE, cuboidal eptbelial cells; F, fai-globules Btainedblack with osmic acid, and seen i>ili in theceUsand in Hi central cavity of the acini; < inective tissue frame with blood-vessels. Magnified dianjeters [C. Beitsmanu). 390 INFLAMMATION OF THE BREASTS, ETC. glandular abscess as a rule implicates the subcutaneous connective tissueand the skin in order to break on the surface of the body. As to the anatomy and physiological development at different ages,and especially during pregnancy and lactation, the reader is referredto the System of Gynecology, Vol. II. pp. 335-338, as well as to theSystem of Obstetrics, Vol. I. pp. 342 and 524-526. Here I shall onlyadd one of the excellent figures from C. Heitzmanns work on micro-scopical anatomy (Fig. 102.) It shows how the acini are lined withcuboidal epithelium, and at the beginning of lactation exhibit numer-ous fat-granules, both within the epithelial cells and in the cen-tral cavity of the acini. In full lactation
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
