Transactions Of The Section On Gynecology Of The College Of Physicians Of Philadelphia 1901 Vol 7

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ISBN 13 : 9781331991397
Total Pages : 154 pages
Book Rating : 4.9/5 (913 download)

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Download or read book Transactions of the Section on Gynecology written by and published by . This book was released on 2015-07-26 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from Transactions of the Section on Gynecology: Of the College of Physicians of Philadelphia Our new gynecology had abrupt limitations, and it is only of late years that we have learned why some of these limitations were so abrupt. My work later became that of the general surgeon, owing to various hospital and other positions, and it became clear to me that in the work of analysis and elimination in making diagnoses one can easily be too special in focusing the attention upon the pelvis. In a certain group of cases of young women who come for gynecological treatment, many cases are not suitable for operative treatment at all. Among these are many young women with flexion, malpositions, with certain ovarian neuralgias. Instead of looking at the uterus first, I try to locate the difficulty at a distant point and think of the uterus after the patient has been under treatment for a week or a month in the hands of such specialists as I wish to employ. In some cities surgeons tell me that they do not have a free hand to employ different specialists in arriving at a diagnosis. In my work in New York I find it practicable, and the patients who will allow it make the most satisfactory clientele. In a young woman presenting herself with a flexion, I am apt to assume that it is not a diagnostic entity, but a symptom, as a cough or sneeze would be. We must ascertain, then, whether a flexion of the uterus stands in the same relation to the condition as a cough or sneeze, and to do this we must, first, examine the peripheral irritators. I think that which perhaps stands first among the young women in the group of peripheral irritators is eyestrain. In this examination you should note whether one eyebrow is elevated above the other, whether the eyebrows are flattened or highly arched. Note also wrinkles or corrugations of the skin of the forehead. Notice the external evidence of eyestrain, and say to the patient that you would like that possible factor eliminated. This may subject a man to some criticism. It is, however, rational, and many patients to-day will allow it who would not ten years ago. In eliminating this possible factor of eyestrain, it is extremely important to have the proper man make the examination. Two weeks ago, owing to certain influences, I sent a young woman with a flexion to a renowned ophthalmologist in New York whom I knew of as a famous man, but not in this particular field of eyestrain. He sent back a report that her sight was perfect. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.