File:Modern surgery, general and operative (1914) (14596004398).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
his-tory of tuberculosis. A chronic case begins by swelling of the epididymis.Palpation detects one or two or several rounded nodules, or a diffuse hardening.In the latter case the epididymis is much enlarged, and there is usually a slighthydrocele. Rectal examination commonly detects nodules in the prostateand vesicles. In a few cases there are frequency of micturition, tenesmus,hematuria, and seropurulent fluid can he massaged from the vesicles andprostate and milked from the urethra. In some cases bacilli are found in theurine. In others the urine is hazy. In about 80 per cent, of cases the guinea-pig test will prove the presence of bacilli. In some cases the urine is normal.Sooner or later nodules appear in the testicle. The vas is always swollen andmay or may not be palpable. In an acute case one testicle is involved. Thetesticle is very painful and the epididymis is greatly swollen and smooth. Thetesticle quickly swells, there is always a hydrocele, and the scrotal skin becomes
Text Appearing After Image:
Fig. gag.—Obstructive hyperemia for the testicles. The ends of the elastic tube are held bythe patient, crossed. A piece of tape is placed beneath to be tied by an attendant (Meyer and Schmie-den). reddened. In a few days the acuteness of the symptoms subsides, but suppu-ration occurs soon. In any case of tuberculosis of the testicle nodules tend tosoften and run together. After a time the skin may become red and adhe-rent, give way, and expose a caseous breaking-down epididymis or testicle.Caseation can occur without mixed infection, but in many cases in which soften-ing and sinus formation occur there is mixed infection. The duration of thedisease is tmcertain; 10 per cent, of the 100 cases carefully studied by Keyeswere known to be alive ten years after the beginning of the trouble, and 4 (andnot one of them had been operated upon) seemed free from tuberculous le-lesions anywhere. One-third of the cases that suppurated were apparentlywell after three years (Annals of Surgery, Jun

Note About Images