. Interstate medical journal . NT OF FOETUS FROM PLACENTA AT SIXMONTHS—RESULTING IN OMENTAL AT-TACHMENT AND BEGINNINGLITHOPEDIUM. < By O. H. Elbrecht, M. D., St. Louis, and Surgeon in Charge Female Hospital. Patient was admitted to Female Hospital Aug. 7, 1906; name, C. P.:age, 31; German; occupation, housewife; had three previous labors; twochildren alive, one dead; no abortions; weight, 117 pounds; size, 5 in.; previous general health has been very good up to the past fewweeks, when she suffered with cramp-like pains in the abdomen and A CASE OF TUBAL ABORTION. 459


. Interstate medical journal . NT OF FOETUS FROM PLACENTA AT SIXMONTHS—RESULTING IN OMENTAL AT-TACHMENT AND BEGINNINGLITHOPEDIUM. < By O. H. Elbrecht, M. D., St. Louis, and Surgeon in Charge Female Hospital. Patient was admitted to Female Hospital Aug. 7, 1906; name, C. P.:age, 31; German; occupation, housewife; had three previous labors; twochildren alive, one dead; no abortions; weight, 117 pounds; size, 5 in.; previous general health has been very good up to the past fewweeks, when she suffered with cramp-like pains in the abdomen and A CASE OF TUBAL ABORTION. 459 small of the back. Bowels, regular and 18 urinalyses made during herstay in the hospital, all were negative. Last menstruation, Jan. 26, 1906;date of quickening, June 15th; a week ago, that is, Aug. 1st, patienthad done some washing and in the evening she became sick with cramp-like pains in the back and right side of lower abdomen. The pain came ongradually, but it suddenly increased to severe pain, so she sent for a physi-. FiG. 1.—Lithopedioi.—Showing the characteristic configuration and the beginningcalcification about the scalp. The roughened surfaces on the anterior surface of thetrunk and on the contorted extremities show the attachment of the omentum. cian, who prescribed and relieved the pain for the time being, but for twodays following she had some pain and headache. There was absolutelyno bleeding from the vagina during the attack. Since that time she hasfelt no foetal movements and at present is somewhat weak and tiredand has some pain in the small of her back. Temperature, 98; pulse, 96;respiration, 22. Accelerated pulse rate was thought to be due to excite-ment incident to leaving her children and coming to the hospital. «No 460 ELBRECHT. evidence of syphilis or rickets; chest, normal; hacteriological examina-tions of vaginal secretions for gonococci, by Gram were Measurements; Interspinal—26 cm. Intercristal—29 —31


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