Syphilitic diseases : their pathology, diagnosis, and treatment, including experimental researches on inoculation, as a differential agent in testing the character of these affections / by John C. Egan.

  • Egan, John C.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: Syphilitic diseases : their pathology, diagnosis, and treatment, including experimental researches on inoculation, as a differential agent in testing the character of these affections / by John C. Egan. Source: Wellcome Collection.

    86/406 (page 64)
    2. Internal or Urethral Gonorrhoea.—A discharge of a purulent character from the urethra of the male may present itself, without exposure to infec- tion from sexual causes. Thus, in gouty habits, it is not an uncommon occurrence to meet with patients in whom this symptom forms a distressing item in the category of their complaints. The urine, under those circumstances, is on analysis found impregnated with uric acid. It may like- wise arise in individuals labouring under inflam- mation of the prostate gland; or calculus, whether deposited in the bladder or impacted in the ureter; and is not unfrequently encountered in the sub- jects of old and neglected strictures. Again, it may originate in connexion with a female during the menstrual period, or may be produced by cohabitation with one while suffering from a leu- corrhoeal discharge. In children, the irritation consequent upon teething or worms may occasion- ally induce it. But by far the most usual cause, and that for which the medical attendant is most frequently consulted, is ascribable to connexion with a female affected with the same disease. 1. Single inflammatory urethral gonorrhoea.—The precise period at which the symptoms characteristic of this, the first stage of the affection, may exhibit themselves, is liable to considerable variation; forty- eight hours have been known to afford sufficient evidence of its existence ; but unequivocal proof is seldom supplied till a week or ten days after