Class room lessons on syphilis and the genito-urinary diseases.

  • Otis, Fessenden N. (Fessenden Nott), 1825-1900.
Date:
[1878]-
Catalogue details

Licence: Public Domain Mark

Credit: Class room lessons on syphilis and the genito-urinary diseases. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    18/46
    under and out, including all the indurated and a little of the sound tissue of that side. This effected, from the place of beginning, cut out in the same way on the opposite side. Be assured, by careful examination that every portion of the neoplasm is removed: then introduce interrupted sutures of silk or silver wire at intervals of \ of an inch. The patient ahould be kept in the recumbent position, the parts constantly wet with Carbolated water, until the third day, when on removal of the sutures, union by first intention will, as a rule, be found to have taken place. The resulting cicatrix may indurate, to a greater or less degree, but rarely, if ever, to the extent of inducing a solution of continuity. In no case, does this procedure lessen the necessity for consti- tutional treatment. The indurated papule, when so located that excision is unadvisable, (as on the glans penis, or involving the tissues of the corpora,) may be subjected to applications of the Oleate of Mer- cury (6 per cent solution) or any correspondingly mild mercurial oint- ment. When the mucous membrane, or cuticle, covering the indura- tion, is abraded, pr at any stage of simple mcrcMoids, dusting the surface with dry Calomel, and protecting it with a thin layer of dry lint, is often serviceable. Calomel in combination with Lime Water; in the proportion of a drachm to the piut: (Latin Nigra) or Bi- chloride of Mercury half a drachm, to the pint of Lime water,! Lorn Flava) are also much esteemed as applications to the open Initial Lesion. The tissue metamorphosis, and absorption,which are requisite for the removal of the syphilitic neoplasm, are, most readily induced ly the internal administration of some one of the various mercurial pre- parations. In all forms of the Initial Lesion, the chief obstacle to reso- lution or healing, is the mechanical interference to nutrition, occasioned by accumulated cell growth. Its removal must occur through the pro- cess known as fatty degen ration. The most active and reliable a<>ent