A textbook of obstetrics . pelvicphlebitis is phlegmasia alba dolens. Diagnosis.— The characteristic signs of uterine and pelvicphlebitis are: a high, irregular, and long-continued fever; profounddepression and great rapidity of pulse, with an entire absence ofall local symptoms of septic infection or o{ septic womb is normal in size, is freely movable, and involutiongoes on uninterruptedly. There is no tenderness, no interference with the uterus, as in an attempt to disinfectits cavity, occasions an exacerbation of the fewer and may causea serious hemorrhage. The
A textbook of obstetrics . pelvicphlebitis is phlegmasia alba dolens. Diagnosis.— The characteristic signs of uterine and pelvicphlebitis are: a high, irregular, and long-continued fever; profounddepression and great rapidity of pulse, with an entire absence ofall local symptoms of septic infection or o{ septic womb is normal in size, is freely movable, and involutiongoes on uninterruptedly. There is no tenderness, no interference with the uterus, as in an attempt to disinfectits cavity, occasions an exacerbation of the fewer and may causea serious hemorrhage. The womans face is apt to show a PUERPERAL SEPSIS. 705 dusky flush on one or both checks, and red splotches appear onother parts of the body, especially upon the chest. In the course of the disease evidences of pyemia may appear,and phlegmasia alba dolcns will almost surely develop, either asthe predominant symptom or as a mere incident in the course ofthe disease. Treatment.—The treatment of phlebitis should consist of a. Fig- 502.—Case of phlebitis in which there was a sharp rise of temperature aftertwo attempts to disinfect the birth-canal. ? \£ .; ? . *£ MS aS£ Ms /V f£ A*/ i^Lr M fVf r f At e .*- vj. :>~ : <r/^r Af, / r- £ \orv- \ ?]: 1 | J • 1 • • 1 : V 1 ^ 1 ! | : 1 ! X Ml; ; 105°-10a - 1 i i J: | i : ; 1, i ! j \\ : : : : 1 105° , •i- m ! i ! | IE A A!! t ? J \ -& A U J iMi VI; 1 1 : V i V / V \ -A / ? i 3: 98°97° G8°-97° _ : --J-- ._•__! _^___ i ? s Fig- 5°3—A case °f phlebitis. Twice the temperature rose above 1070. As aresult apparently of an intra-uterine douche, the hyperpyrexia occurring directly afterit. Recovery. preliminary disinfection of the uterine cavity. In a perfectly typical case this will prove unnecessary or even harmful, but itis so difficult to determine whether or not there remains in thewomb some infecting material, t
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
