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Updated: June 1, 2025
After all the other surgeons had gone to their tents, he wandered about the camp, looking after the wounded who lay shivering here and there on the bare, wet ground, and giving them, with medicines, stomach-tube, and catheter, such relief as he could. Soon after sunrise I awoke, and after a hasty breakfast began carrying around food and water.
The introduction of the catheter is a process requiring considerable skill, and a perfect acquaintance with the anatomy of the parts, so that personal use of it is practically impossible, or, at least, attended with considerable danger.
But as physicians came to know more of the relations of bacteria to inflammation of the bladder, they grew more cautious, and preferred to wait a long time before resorting to the catheter. The reward of this patience was to find that, with remarkably few exceptions, puerperal women ultimately void of their own accord.
Roberton says that in one instance within his knowledge a practitioner passed the catheter for a patient with puerperal fever late in the evening; the same night he attended a lady who had the symptoms of the disease on the second day.
Camper records such a case from ulcer of the neighboring or connecting intestine; Frank, from cohesion and suppuration of the rectum; Marcellus Donatus, from penetrating ulcer of the rectum; and Petit, from communication of the rectum and bladder in which a cure was effected by the continued use of the catheter for the evacuation of urine.
The sinus on the back extends from the coccyx to the ribs, and from one ilium to the other. The skin and fascia of the external wall being so thin that the catheter can be seen over the entire extent, as I push it from one part to another for the purpose of washing out all parts of the sack. Patient has been complaining of pain and want of sleep; had a chill last night.
Treatment: Call at once a competent physician. Treatment: Evacuate the bowels and the bladder by means of injections, and the catheter. Place the fingers in the vagina, locate the mouth of the womb, insert finger into it, and gently pull the organ into its natural position. Treatment: Use tonics freely together with vapor baths, and frequent hot hip baths.
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