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May 4, 1889

THE TREATMENT OF PELVIC INFLAMMATIONS.Read before the Section for Clinical Medicine, Pathology, and Hygiene of the Massachusetts Medical Society, Dec. 12,1888.

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JAMA. 1889;XII(18):616-617. doi:10.1001/jama.1889.02400950004001a

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In the management of cases of chronic pelvic inflammation the accurate diagnosis is a highly essential element, without which the practitioner is entirely at a loss to know what to do and what to leave undone. The differentiation between the various conditions apparently identical to the touch requires a careful review of the history and symptoms, and experienced tactile sense and frequently repeated examinations at various intervals. If a careful examination were made under anæsthesia, in the exaggerated lithotomy position, whenever the diagnosis was not sufficiently clear, many false conclusions could be eliminated. There would then be fewer cases of pelvic exudations treated as uterine displacements by the use of the sound and pessary; the number of uterine fibroids, so gracefully and rapidly dispersed by electrolysis would in a degree diminish, and pelvic cellulitis would be relegated to its proper place in pathology as a phlegmonous inflammation.

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