Outlines of surgery and surgical pathology : including the diagnosis and treatment of obscure and urgent cases and the surgical anatomy of some important structures and regions / by F. Le Gros Clark.

  • Clark, Frederick Le Gros, 1811-1892.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of surgery and surgical pathology : including the diagnosis and treatment of obscure and urgent cases and the surgical anatomy of some important structures and regions / by F. Le Gros Clark. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    CHANCRE. be speedily assumed, it is usually indicative of feeble power, and the virulent property of the sore is probably modified or lost. TREATMENT.—During the first few days the surface of the sore may be destroyed with lunar caustic or nitric acid, or both combined. This may extinguish the virulent character, and secure immunity from constitutional contamination. If too late for this, give mercury, or rub it in. Blue pill night and morning, or once a day, according to circumstances, till the mouth is touched. In strumous or feeble patients, iodide of potassium or nitric acid and bark are preferable. Keep up the action of the mercury gently ; apply black-wash, and add opium if theie be much pain. If the sore become phagedaenic, destroy the surface with strong nitric acid ; then soothe, and support the system, avoiding mercury. Chancre may destroy the meatus and be followed by constric- tion of the uiethral orifice ; or it may involve the prepuce, fraenum, &c. Bubo, as a sequence of hard chancre, results from absorption of prepuce and usually attacks only one gland ; this is more slug- gish at fiist than sympathetic bubo, but afterwards quickly opens out into a hard irregular ulcer, almost virulent in its secretion. Bubo should be opened by a vertical incision. Spreading ulcer of the groin requires specific constitutional treatment, and to be dressed with mercurial wash or ointment. When these large ulcers become phagedaenic and spread, nitric acid should be freely applied ; subsequently stale beer-ground poultice ; and bark, ammonia, wine, and good nutriment must be given. Secondary symptoms exhibit themselves in the mucous membrane of the throat, tonsils, mouth, and nose, the skin, the iris, the periosteum, and, apparently, the bones. Some weeks at least elapse, often months. The throat is generally first affected ; erythema, followed by ulceration, sometimes deep and destructive. Eruptions on the skin; as papular, lichen, psoriasis or lepra, all of a coppery hue. Pustules, rising and drying in the form of a cone, constituting tubercular eruption (rupia). Ulcers of the tongue or fissures, often hard and malignant-looking. Iritis, running a rapid course, and terminating by deposit of lymph and organised adhesions (see