. The diagnosis and treatment of diseases of women. disease of remote organs—for ex-ample, of the heart or lungs or gastro-intestinal tract— those organs should beexamined. In case of serious disease, and in all cases where an anesthetic is to begiven, an examination of the heart and lungs and abdominal viscera is imperative. 10 TAKING THE HISTORY The condition of the patients blood, as indicated by her color, and the conditionof the nervous system, as indicated by her appearance and actions, should be con-sidered, and, if there is evidence of disease in either direction, further investigation
. The diagnosis and treatment of diseases of women. disease of remote organs—for ex-ample, of the heart or lungs or gastro-intestinal tract— those organs should beexamined. In case of serious disease, and in all cases where an anesthetic is to begiven, an examination of the heart and lungs and abdominal viscera is imperative. 10 TAKING THE HISTORY The condition of the patients blood, as indicated by her color, and the conditionof the nervous system, as indicated by her appearance and actions, should be con-sidered, and, if there is evidence of disease in either direction, further investigationshould be carried out. The urine should be examined if the patient is seriously sick or if there are symp-toms pointing to bladder or kidney disease or if an anesthetic is to be given. Previous Treatment. Question the patient as to the character and duration of the previous treatmentand its apparent effect. Was it internal treatment only or local treatment at home(douches, vaginal suppositories or tablets or tampon-capsules) or local treatment. w. ^ \ 1 \ 1 Fig. Indicating pain in the region of the rignt Fig. 15. Another common way of indicating thedragging pain that accompanies disease and displace-ment of the kidney. at office (vaginal applications, tampons, intra-uterine treatment) or operation(curetment, repair of pelvic floor or cervix, vaginal section or abdominal section) ? Special Points. Each of the points above mentioned should be inquired into in practically everycase of pelvic disease. In exceptional cases, it is necessary to make inquiry alongspecial lines, for example, in regard to the patients family history (nervous diseases,tuberculosis, cancer), or, as in sterility, in regard to the husbands health. THE WRITTEN RECORD H Summary op Chief Symptoms Demanding Relief. After completing the history and before beginning the examination, fix in mindthe chief symptoms for which the patient seeks relief. Keep these in mind whilemaking the examination and e
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