Thomas Stephen Cullen | |
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Born | Bridgewater, Ontario, Canada | November 20, 1868
Died | March 4, 1953 84) Baltimore, Maryland, U.S. | (aged
Education | Toronto Collegiate Institute Johns Hopkins University University of Göttingen |
Alma mater | University of Toronto (MB) |
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Thomas Stephen Cullen (November 20, 1868 – March 4, 1953) was a Canadian gynecologist associated with Johns Hopkins Hospital. [1]
Born in Bridgewater, Ontario, Cullen was educated at the Toronto Collegiate Institute and the University of Toronto, graduating from the latter school with a Bachelor of Medicine degree in 1890. He began studying at Johns Hopkins University the next year, before traveling to Germany and studying at Johannes Orth's laboratory at the University of Göttingen in 1893. From 1893 to 1896, Cullen was in charge of gynecological pathology at Johns Hopkins, and in 1919 he was named a professor of clinical gynecology.
Cullen researched gynecological diseases including uterine cancer and ectopic pregnancy and promoted extensive use of diagrams in biomedical publishing. Cullen's sign, a discoloration of the skin about the navel which is regarded as a sign of a ruptured ectopic pregnancy, is named for him. He wrote alone, and in collaboration, four important monographs:
Cullen died at Baltimore, Maryland. [1]
Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no symptoms. Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer.
The Ancient and Accepted Scottish Rite of Freemasonry, commonly known as simply the Scottish Rite, is one of several Rites of Freemasonry. A Rite is a progressive series of degrees conferred by various Masonic organizations or bodies, each of which operates under the control of its own central authority. In the Scottish Rite the central authority is called a Supreme Council.
The uterus or womb is the organ in the reproductive system of most female mammals, including humans, that accommodates the embryonic and fetal development of one or more embryos until birth. The uterus is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment.
Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. The pain may be described as sharp, dull, or crampy. Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Severe bleeding may result in a fast heart rate, fainting, or shock. With very rare exceptions, the fetus is unable to survive.
Tubal ligation is a surgical procedure for female sterilization in which the fallopian tubes are permanently blocked, clipped or removed. This prevents the fertilization of eggs by sperm and thus the implantation of a fertilized egg. Tubal ligation is considered a permanent method of sterilization and birth control.
Gestational trophoblastic disease (GTD) is a term used for a group of pregnancy-related tumours. These tumours are rare, and they appear when cells in the womb start to proliferate uncontrollably. The cells that form gestational trophoblastic tumours are called trophoblasts and come from tissue that grows to form the placenta during pregnancy.
Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.
Vaginal bleeding is any expulsion of blood from the vagina. This bleeding may originate from the uterus, vaginal wall, or cervix. Generally, it is either part of a normal menstrual cycle or is caused by hormonal or other problems of the reproductive system, such as abnormal uterine bleeding.
An abdominal pregnancy is a rare type of ectopic pregnancy where the embryo or fetus is growing and developing outside the womb in the abdomen, but not in the Fallopian tube, ovary or broad ligament.
Gestational trophoblastic neoplasia (GTN) is group of rare diseases related to pregnancy and included in gestational trophoblastic disease (GTD) in which abnormal trophoblast cells grow in the uterus. GTN can be classified into benign and malignant lesions. Benign lesions include placental site nodule and hydatidiform moles while malignant lesions have four subtypes including invasive mole, gestational choriocarcinoma, placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT). The choriocarcinoma has 2 significant subtypes including gestational and non-gestational and they are differentiated by their different biological feature and prognosis. Signs and symptoms of GTN will appear vary from person to person and depending upon the type of the disease. They may include uterine bleeding not related to menstruation, pain or pressure in pelvis, large uterus and high blood pressure during pregnancy. The cause of this disease is unknown but the identification of the tumor based on total beta-human chorionic gonadotropin (β-hCG) in the serum.
John Clarence Webster was a Canadian physician, surgeon, and pioneer in Obstetrics and gynaecology, topics upon which he wrote several textbooks. After his retirement in 1920 he became a historian, specializing in the history of his native New Brunswick, and a supporter of efforts to preserve heritage and historic sites.
Howard Atwood Kelly was an American gynecologist. He obtained his B.A. degree and M.D. degree from the University of Pennsylvania. He, William Osler, William Halsted, and William Welch together are known as the "Big Four", the founding professors at the Johns Hopkins Hospital in Baltimore, Maryland. He is credited with establishing gynecology as a specialty by developing new surgical approaches to gynecological diseases and pathological research. He also developed several medical innovations, including the improved cystoscope, Kelly's clamp, Kelly's speculum, and Kelly's forceps. Because Kelly was a famous prohibitionist and Fundamentalist Christian, many of his contemporaries expressed skepticism towards his medical professionalism.
Johann Veit was a German gynecologist. He was the son of obstetrician and gynecologist Gustav Veit (1824-1903).
The Supreme Council, Ancient and Accepted Scottish Rite, Southern Jurisdiction, USA was the first Supreme Council of Scottish Rite Freemasonry. It claims that all other Supreme Councils and Subordinate Bodies of the Scottish Rite are derived from it. Its official full name is "The Supreme Council of the Inspectors General Knights Commander of the House of the Temple of Solomon of the Thirty-third Degree of the Ancient and Accepted Scottish Rite of Freemasonry of the Southern Jurisdiction of the United States of America." It is also commonly known as The Supreme Council, 33°, Southern Jurisdiction, or by some other varying degree of complete titulage. It is the governing body of Scottish Rite Freemasonry in its jurisdiction, and is one of two Supreme Councils in the United States. It oversees the Scottish Rite in 35 states.
A heterotopic pregnancy is a complication of pregnancy in which both extrauterine (ectopic) pregnancy and intrauterine pregnancy occur simultaneously. It may also be referred to as a combined ectopic pregnancy, multiple‑sited pregnancy, or coincident pregnancy.
A douche is a device used to introduce a stream of water into the body for medical or hygienic reasons, or the stream of water itself. Douche usually refers to vaginal irrigation, the rinsing of the vagina, but it can also refer to the rinsing of any body cavity. A douche bag is a piece of equipment for douching—a bag for holding the fluid used in douching. To avoid transferring intestinal bacteria into the vagina, the same bag must not be used for an enema and a vaginal douche.
Indirect abortion is the name given by Catholic theologians to a medical procedure which has a beneficial medical effect and also results in an abortion as a secondary effect. Edwin F. Healy makes a distinction between "direct abortions" that is, abortion which is either an end or a means, and "indirect abortions", where the loss of the fetus is then considered to be a "secondary effect".
An interstitial pregnancy is a uterine but ectopic pregnancy; the pregnancy is located outside the uterine cavity in that part of the fallopian tube that penetrates the muscular layer of the uterus. The term cornual pregnancy is sometimes used as a synonym, but remains ambiguous as it is also applied to indicate the presence of a pregnancy located within the cavity in one of the two upper "horns" of a bicornuate uterus. Interstitial pregnancies have a higher mortality than ectopics in general.
Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. Typically the egg cell is not released or picked up at ovulation, but fertilized within the ovary where the pregnancy implants. Such a pregnancy usually does not proceed past the first four weeks of pregnancy. An untreated ovarian pregnancy causes potentially fatal intra-abdominal bleeding and thus may become a medical emergency.
Early pregnancy bleeding refers to vaginal bleeding before 14 weeks of gestational age. If the bleeding is significant, hemorrhagic shock may occur. Concern for shock is increased in those who have loss of consciousness, chest pain, shortness of breath, or shoulder pain.
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