Syphilis : its nature & diffusion popularly considered / by James George Beaney ... With fifteen coloured plates.

  • Beaney, James George, 1828-1891.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Syphilis : its nature & diffusion popularly considered / by James George Beaney ... With fifteen coloured plates. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    the Medical Society of Victoria about three years ago, in which he demonstrates how distinctly visceral syphilis may simulate phthisis. The case is that of a gentleman in England who called upon him in haste one day, having—as is usual in the advent of consumption of the lungs—spat up a small quantity of arterial blood. Auscultation furnished indications of apparently tubercular condensation of a portion of the right lung, with the usual crepitus of congestion. The patch of solidified lung was well marked, and was verified by two distinguished experts of pulmonary diseases in London. Mr. Dowling treated his patient for some time in the usual way for phthisis, but without many of the anticipated results. His patient improved somewhat it is true, but never became robust, or regained anything like his standard health. Mr. Dowling determined at length to have what he terms a thorough overhaul of his chest again. The following condition of things induced the determination : c( The appetite failed; the pulse kept persistently too frequent; there was slight cough, more dullness of the lung, with mar- ginal crepitation; no expectoration nor night sweats, but a gradual loss of flesh, which in about six weeks amounted to nearly two stone. He was hardly laid by, and could hardly be called able to go about, the symptoms varied so from day to day. The usual treatment for early phthisis was being carried out, and he seemed gradually wasting. Such was the position of affairs when the overhaul was determined on. Mr. Dowling goes on to say—u As the patient pulled off his shirt, I noticed a scab on the upper part of the belly. I asked him what it was, to which he answered, fOh, nothing; it has been there a few weeks, and began with a pimple/ He admitted it was getting slowly larger. It was about half-an- inch in diameter at the base, conical and crusted; inflamed at the edges, from which occasionally a little sanious pus ex- uded. To my mind it was an unmistakable patch of rupia. I