Page:A Contribution to the Pathology of Phlegmasia Dolens.djvu/12

10 On the 8th of December, 1827, she was delivered, after a tedious labour, of a healthy child, and during the succeeding week felt unusual pain in the hypogastrium and in the right iliac and inguinal regions. On the 20th, the pain which had remitted returned with increased violence, and on the 21st rigors and other symptoms of pyrexia supervened, and the whole right inferior extremity became stiff and swollen.

On the 22d (the fourteenth day from her confinement) I first saw her. A considerable degree of tumefaction then occupied the extremity, it was, however, much greater in the leg than in the thigh; and in the former the integuments were tense and elastic, but pitted slightly on firm pressure along the front of the tibia. In the thigh no effect was produced by pressure. The temperature to the touch was higher than natural. There was exquisite pain aggravated by pressure in the corse of the femoral vein, and in the groin this vessel felt as if enlarged, rolling, hard and incompressible under the finger. The pain extended upwards through the iliac region, along the course of the great vessels, and through the thigh, ham, and back of the leg towards the foot. The pulse was 112.—The skin hot.—The tongue white, with much thirst, and nausea.

December 25th, (seventeenth day after delivery, and fifth from the invasion of the disease,) all the