A practical text-book of the diseases of women / by Arthur H.N. Lewers.

  • Lewers, Arthur H. N. (Arthur Hamilton Nicholson)
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: A practical text-book of the diseases of women / by Arthur H.N. Lewers. Source: Wellcome Collection.

    27/440 (page 7)
    The primary areola, i.e., that immediaiely round the nipple, its size, shade of pigrnentation, whether studded with little prominences (^enlarged follicles) or not. Whether hairs grow on it, or round it. The secofidary areola, this is only seen in the latter months of pregnancy, and for a variable time after labour; when present it occupies an area usually a finger's breadth in width (though sometimes it is much wider) around the primary areola. Its appearance is usually described by supposing a white surface to be painted brown, and then further supposing that a shower of water-drops washes away the pigment where the drops fall, exposing the underlying white. It really consists of numerous white circles about to i of an inch in diameter separated from one another by brown intervening spaces. The presence of enlarged veins on the breasts, as seen in pregnancy. The presence or absence of secre/ion.—This is observed by squeezing the breast in the whole hand pretty firmly in the direction of the nipple. The fluid squeezed out may be clear or milky. In doubtful cases the presence of a little secretion in the breasts is of small value for diagnosis. Palpation.—The whole area of the abdominal wall should be carefully palpated, using both hands. Light springy palpation gives more information than any effort to overcome the resistance of the ab- dominal muscles by force. The patient should be told to keep the mouth open; to breathe deeply and rather slowly, and to let the abdominal wall (or rather as she understands it the stomach) be as loose as she can. Great assistance will be obtained in some cases,