Genito-urinary and venereal diseases : a manual for students and practitioners / by Charles H. Chetwood ; series edited by Bern B. Gallaudet.

  • Chetwood, Charles Howard, 1866-
Date:
[1892], ©1892
Catalogue details

Licence: Public Domain Mark

Credit: Genito-urinary and venereal diseases : a manual for students and practitioners / by Charles H. Chetwood ; series edited by Bern B. Gallaudet. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    On what does the diagnosis of syphilis depend when that of the sore is not established? On the appearance of a syphilitic eruption indicating the pres- ence of a general and not local disease, which syphilis is and must be without exception. We have divided the later appearance of syphilis for conveni- ence and from usage into secondary and tertiary stages. Is there any clear line of demarcation between them ? No ; the disease is constitutional from the start, but the first symptoms of general syphilis begin with the so-called secondary stage. Is there an interval between the first and second stages? Yes; a so-called second stage of incubation, lasting on an average forty-three to forty-five days. How long does the period last during which these secondary symptoms appear? From a year to eighteen months—sometimes two years or more —with various exceptions on both sides of the rule. Are there any prodromal symptoms to the secondary stage ? Yes; about a week or ten days before the eruption appears the patient passes through a febrile stage of a variable character, some- times coming on as a simple febricula. in other cases as a malarial paroxysm, remittent or intermittent. At this period of the disease what is apt in the appearance of the patient to indicate the presence of a constitutional dis- ease or cachexia ? A sallow and anaemic complexion and a general condition of malaise. Of what does this cachexia consist ? A hydraemia, or a diminution of the red blood-corpuscles in the blood. What is the general term applied to syphilitic eruptions? Syphilides. Mention the different forms these syphilides assume during the secondary stage. Erythematous, papular, vesicular, pustular.