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Download pdf A Manual of Surgery Volume 1

Download pdf A Manual of Surgery Volume 1

A Manual of Surgery Volume 1. Charles Stonham

A Manual of Surgery Volume 1
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Author: Charles Stonham
Page Count: 136 pages
Published Date: 26 Jun 2012
Publisher: Rarebooksclub.com
Publication Country: Miami Fl, United States
Language: English
ISBN: 9781236472410
File size: 25 Mb
File Name: a.manual.of.surgery.volume.1.pdf
Download Link: a manual of surgery volume 1
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 edition. Excerpt: ... healed before the patient comes for advice, and its position be only indicated by induration of the tissues and enlargement of the adjacent lymphatic glands. The primary sore is usually single, but occasionally two or more are present. It is usually situated on the genital organs, but may be found anywhere, according to the manner of inoculation. Extra-genital sores may be difficult to diagnose, since they have often been treated under a misapprehension of their nature and their characters thereby altered. In doubtful cases, the surgeon should regard with suspicion any intractable, indurated sore with enlargement and induration of the neighbouring lymphatic glands, and should search carefully for secondary affections of the skin and mucous membranes. In women a primary sore of the vagina or on the os uteri may readily escape detection. A primary chancre does not always present the same features, but there are certain essential characteristics constantly present. Circumscription, dense induration, painlessness, and involvement of the lymphatics and glands are constant. In most cases the sore appears as an indurated ulcer or erosion, having a gristly cartilaginous feeling, and exuding a slight, sticky, highly contagious discharge which is never profuse or purulent unless the sore be irritated. Sometimes the whole glans penis or prepuce is the seat of general induration with patches of diffuse ulceration. A chancre occurring on the sheath of the penis or elsewhere on the skin, and if unirritated, is not accompanied by ulceration or loss of substance, but takes the form of a. dense, hard, localised, and slightly raised papule, with a few dry scales of epithelium on the surface. Should such a sore be irritated, it will break down and form an indolent...

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