Gynecological diagnosis (1910) (14798146003)

Identifier: gynecologicaldia00burr (find matches)

Title: Gynecological diagnosis

Year: 1910 (1910s)

Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935

Subjects: Women

Publisher: New York, London, D. Appleton and Company

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

(loc. cit.) reported a case which I saw and examined for him on November 9, 1896, when the child was fourteen and a half months old. The facts in the case were briefly these:—The child was born August 29, 1895, and was said to have weighed fourteen pounds at birth. At that time her breasts were large and the baby was very fat in the neck. There was no history of early menstruation in the family except that the mother began to menstruate at twelve. One previous child, a boy three years old, was normal in every respect. When two months old the mother noticed that the baby had the whites and that there was a little coarse hair on the vulva. On May 29, 1896, when exactly nine months old, a bloody vaginal discharge was noted. Weight then was twenty-eight and a half pounds,—breasts large, mons veneris prominent, and external genital organs well developed. A flow of three clays, recurring each month, occurred regularly until she was examined November 9, 1896, and a leucorrhea was noted

Text Appearing After Image:

Fig. 207.—A Case of Precocious Maturity. months old. Child fourteen and a half during the intermenstrual period. There were no evidences of immodesty or sexual feelings. Then her appearance was that of a child of three,—weight thirty-six pounds, height thirty-twoand a half inches, two teeth, intelligence above the average, and could say several words distinctly and walked well,—a moderate growth of hair in the axillae and on the back, breasts prominent and each contained a mass of gland tissue as large as a pigeons egg, nipples well developed and surrounded by a dark areola and a little hair. Local examination showed: (I quote from my notes made at the time) the labia majora well developed and meeting in the median line, a spare growth of light brown coarse hair on the mons veneris and outer surfaces of the labia majora, labia majora well developed and of moderate size, clitoris normal, hymen with central opening dilatable, easily admitting my little finger, which

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1910

Library of Congress

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