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August 6, 1887

A CASE OF PYO-SALPINX—RECOVERY WITHOUT OPERATION. WITH REMARKS ON TAMPONNEMENT OF THE VAGINA IN PELVIC INFLAMMATIONS.Read before the Section on Obstetrics and Gynecology, at the Thirty-eighth Annual Meeting of the American Medical Association held at Chicago, June, 1887.

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JAMA. 1887;IX(6):167-172. doi:10.1001/jama.1887.02400050007002

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When the science of gynecology began to differentiate the pelvic diseases of woman, a vast field, before either untrodden or only slightly so, was thrown open in the domain of gynecological therapeutics, which is now being cultivated with an interest, assiduity and success, not second to that in any department of medicine. Time was, and that not so very long ago, when it was sufficient to tell a woman she had "ulceration," or "prolapsus," or "inflammation," and it was understood that these conditions all belonged to the womb itself; for the other pelvic organs had hardly been explored in a pathological sense. Now it is essential, not only to define the character and degree of a uterine displacement, to diagnosticate between ulceration, erosion, and laceration of the cervix, and to untangle the various forms of inflammatory action to which the womb is liable, but we must understand and explain the

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