Identifier: syphilis00coop (find matches)
Title: Syphilis
Year: 1895 (1890s)
Authors: Cooper, Alfred, Sir, 1846-1908 Cotterell, Edward, 1857-1898
Subjects: Syphilis Syphilis
Publisher: Philadelphia : P. Blakiston
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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plemented in obstinatecases by continued warm baths, will give the bestresults. Various solutions have been used for parenchy-matous injection of buboes in order to abort them.Welander recommends benzoate of mercury, and usesfifteen to thirty drops of a 1 per cent, solution, butWe have not had any personal experience of thistreatment. The idea naturally suggests itself that the quickestresults in the treatment of bubo will be obtained bythe immediate excision of the glands (under antisepticprecautions) when they become inflamed, and theclosure of the wound by suture. It must be admittedthat in suitable cases this method offers an efficientmeans of treatment, which is too seldom taken advan-tage of. The complications to which open buboes are liable—viz., phagediena, gangrene, and diphtheritis—mustbe treated according to the rules laid down for softsores under similar circumstances. Any haemorrhagewhich may occur must be dealt with according tothe ordinary rules of surgery. Plate 3.
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EXPLANATION OF PLATE IIL Fig. L Hard sore situated on the edge of foreskin. Fig. 2. Hard sore situated on the corona, and on the inner aspect offoreskin. Fig. 3. Hard sore situated on glans. CHAPTEE YII. THE HARD OR INDURATED CHANCRE THE PRIMARY SORE THE INITIAL LESION SYPHILIS. Before describing the characteristic or typicalinitial lesion of syphilis, it should be mentioned thatthis is not always found, and that the induration isnot always present, or is so very slight that it maybe overlooked. Some maintain that syphilis mayoccur in the absence of any initial lesion, and suchcases are sometimes described under the namesypJiilis demhlee. If under this name is understoodS3philis where the primary sore has not taken on thecharacteristic sclerosis, we shall, of course, admit theterm, but we cannot allow that syphilis is everpresent without an initial lesion, although its pre-sence may be overlooked. The indurated chancre, like the chancroid, may befound on any part of the body, but the

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