American Practitioner and News Volume 16

American Practitioner and News Volume 16

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1893 edition. Excerpt: ...which will reveal the fact that it completely encircles the meatus; from the second by the presence of other evidences of syphilis around the vulva and on other portions of the body. Urethral venous angioma is recognized by its color and lack of sensitiveness, fibromata by their smooth surface, elasticity, painlessness, and the fact that they do not readily bleed on manipulation. Many of these growths may exist without causing trouble. This is the case with small condylomata, fibromata, and mucoid polypi. If they attain any size, the first symptom is a disturbance in the excretion of the urine; later, pain on micturition, pruritus, frequent desire to void the urine, and dysuria. As the growths enlarge, the urethra is dilated, the mucous membrane becomes hyperesthetic and hyperemic, and a catarrhal inflammation is set up. Following this are erosions and fissures. T realment. If the growth causes no trouble, non-interference is the rule, but if it causes pain or disturbance of function it should be removed. This is best accomplished by excisim, followed by thorough cauterization with nitric acid, or, better still, the actual cautery. The case which I present is, I think, an interesting one. It is a fibroma. The following is the history elicited: Alice Todd, aged thirty-two years, came to the University clinic complaining of female trouble. Menstruation regular, slightly painful, three to five days in duration, amount of blood lost normal. Has had four children, the last one fourteen years ago. Has had two miscarriages, the last two months ago. All of her labors natural. General health good. Examination reveals a tumor protruding from vulva. It is two inches in length, and is attached to the posterior half of the meatus urinarius. It is...
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Product details

  • Paperback | 240 pages
  • 189 x 246 x 13mm | 435g
  • United States
  • English
  • black & white illustrations
  • 1236825314
  • 9781236825315