The practice of obstetrics, designed for the use of students and practitioners of medicine . r the head of differential diagnosis. Mistakesshould be avoided by the greatest care in the details of the examination. Withall these precautions, there are on record numerous cases which exemplify thestriking errors of eminent specialists. The physical signs are of far more importance and value than the symptoms,and are obtained by means of sight, touch, and hearing. There is much roomfor deception in the patients account of herself, for she may intentionally orunintentionally misrepresent one or all
The practice of obstetrics, designed for the use of students and practitioners of medicine . r the head of differential diagnosis. Mistakesshould be avoided by the greatest care in the details of the examination. Withall these precautions, there are on record numerous cases which exemplify thestriking errors of eminent specialists. The physical signs are of far more importance and value than the symptoms,and are obtained by means of sight, touch, and hearing. There is much roomfor deception in the patients account of herself, for she may intentionally orunintentionally misrepresent one or all of her symptoms. But the informa-tion which is obtained by inspection, palpation, percussion, and auscultation,lacks the uncertain element always present in the personal history, and givesdata that can be relied upon. Upon the period of the pregnancy will dependto a certain extent the satisfactory results of the examination. For the prepara-tion and posture of the patient for the examination see Obstetric Examina-tion. Classification.—The symptoms and physical signs of pregnancy may be. Fig. i63.^Right and Left Halves of a Frozen Section of a Uterus at Two and aHalf Months, showing Changes in Shape and Density of the Uterine WallsAND Thick Decidua.—(After Pinard.) conveniently classified as: (i) Uterine; (2) vaginal; (3) abdominal; (4) mam-mary; (5) fetal; (6) sympathetic and reflex; (7) due to pressure and congestion;(8) cutaneous; (9) individual and subjective. I. Uterine.—(i) Cessation of Menstruation.—This, as a general rule,is the first warning of pregnancy to women who have been exposed to impregna-tion. It is not a perfectly trustworthy symptom, for it may occur in variousdiseases and conditions. However, when occurring in healthy women whohave previously menstruated regularly, it is strongly presumptive of pregnancy,and it is of great practical value, as it probably offers the most reliable datumfor predicting the date of confinement. Nevertheless, certain error
Size: 2298px × 1087px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
