. The diagnosis and treatment of diseases of women. Fig. 5. Pelvic Organs from in Front. (Dickinson— Am. Text-book of Obstetrics.) tions and get the approximate date of the first acute attack or first appearance ofdecided symptoms. THE PRINCIPAL SYMPTOMS 5 What were these first symptoms? How severe were they? What was done forthem? What caused the trouble at that time? Had there been a severe sick spell or aninjury of any kind? Had there been a labor or miscarriage or menstrual disturb-ance or recent marriage or extra work or anything that might have acted as a cause?. Fig. 6. Relation of the
. The diagnosis and treatment of diseases of women. Fig. 5. Pelvic Organs from in Front. (Dickinson— Am. Text-book of Obstetrics.) tions and get the approximate date of the first acute attack or first appearance ofdecided symptoms. THE PRINCIPAL SYMPTOMS 5 What were these first symptoms? How severe were they? What was done forthem? What caused the trouble at that time? Had there been a severe sick spell or aninjury of any kind? Had there been a labor or miscarriage or menstrual disturb-ance or recent marriage or extra work or anything that might have acted as a cause?. Fig. 6. Relation of the Pelvic Organs to the External Surface of the body. (Dickinson — Am. Text-bookof Obstetrics.) Character AND Duration op Principal Symptoms. Get an account of the present trouble from the day it began, down through all theimportant changes, to the date of consultation. This does not mean to waste timewith a mass of unnecessary detail, but to ascertain, by well directed inquiries, theorder of development and the duration of the principal symptoms, such as pain,fever, swelling, discharge, etc. Locate definitely the site of the pain or tenderness or other distress complained it in the tubal region or appendix region or over the uterus or about the ureteror kidney? Have the patient point out the exact location of the pain. Figs. 7 to 6 TAKING THE HISTORY 15, indicate the location of the pain in various affections. This definite localiza-tion helps to clarify the situation and makes the patient more careful and reliablein her statements. Of course no diagnosis
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