Practical Observations on the Venereal Disease, and on the Use of Mercury

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A. Waldie, 1837 - 211 Seiten
 

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Seite 173 - I have never seen or heard of a single instance in which a syphilitic Infant (although its mouth be ulcerated), suckled by its own mother, had produced ulceration of her breasts; whereas very few Instances have occurred where a syphilitic Infant had not infected a strange hired wet nurse, and who had been previously in good health.
Seite 47 - ... which these take, when not interfered with by any stimulant or caustic application, and when treated only with some mild ointment or cold water. If under these circumstances we find that after eight or ten days such ulcers show no disposition to heal, and if, at the same time there be a total absence of any cause, such as defect in the general health, to account for this obstinate condition of the local disease, we may then pronounce them to be syphilitic.
Seite 24 - ... unfavourable and alarming, or whether they may be merely the natural effects of the mercurial action; this, however, is not the only instance which the practice of surgery presents, in which accurate observation, discrimination, and judgment are required to practise the profession with safety and success ; these are qualifications which can only be attained by long and attentive experience; no precise rules, therefore, can be laid down to guide the surgeon at this critical juncture, neither can...
Seite 45 - ... intermitting pulse, occasional vomiting, a pale contracted countenance, a sense of coldness ; but the tongue is seldom furred, nor are the vital or natural functions much disordered.
Seite 28 - ... On inspecting the fauces, we discover a degree of erysipelatous blush on the arches of the palate, and some inflammatory thickening of the velum palati: on the tonsil, and generally at its upper extremity, we see a superficial ash-coloured slough ; one side only may be thus affected, or both may be engaged in it. I need hardly say, that in such a case a further persistence in the full doses of mercury would not only prove ineffectual for the relief of the venereal symptoms, but would also be...
Seite 194 - In 15 * civil life it would naturally obtain a preference from both patient and surgeon ; the former would be relieved from all the horrors of a mercurial course, the latter find in it a line of practice simple, plain, and safe; one that required not any extensive observation of the venereal disease, or any nice and accurate judgment in the employment of the remedies. Yet it has not superseded the mercurial plan of treatment: on the contrary, it seems now, after a trial for twenty years, to have...
Seite 44 - ... salivation, and to the strength and general health of our patients. The salivation once fairly established, we may consider ourselves as having escaped the chief dangers of a mercurial course, and as now being on the high road to a certain cure. We now may be confident that the mercury will not act (as it too often does) as a poison, instead of its proving one of the most active and beneficial remedies in the materia medica.
Seite 58 - We sometimes see the edge of the prepuce beset with five or six circular ulcers; these, if left to themselves, will first granulate, then become fungous, and finally will heal spontaneously. The form as well as the slow and indolent character of these ulcers might dispose us to conceive that they were syphilitic; the appearance, however, of several of these at once, along the margin of the prepuce, and their being destitute of any hardness, will serve as a criterion whereby we may make the distinction....
Seite 173 - It is a curious fact that I have never witnessed nor ever heard of an instance in which a child, deriving the infection of syphilis from its parents, has caused an ulceration in the breast of its mother.
Seite 167 - Here, then, are two examples to establish the opinion that secondary symptoms are capable of propagating the venereal disease, for in this case no suspicion whatever arose in the minds of any of the medical attendants that the disease of the child had been derived from the parents ; indeed the advanced age of the child at the time that it first exhibited any signs of the disease, was quite sufficient to remove all doubt or suspicion on that head.6 Consequences.

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