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. 1917 edition. Excerpt: ...a history of infection, the Wassermann after a provocative salvarsan dose, the history of present trouble. and an examination of tissue should determine the diagnosis. It must always be remembered that carcinoma may form on an old syphilitic lesion and that repeated examinations of the tissue should be ...
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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. 1917 edition. Excerpt: ...a history of infection, the Wassermann after a provocative salvarsan dose, the history of present trouble. and an examination of tissue should determine the diagnosis. It must always be remembered that carcinoma may form on an old syphilitic lesion and that repeated examinations of the tissue should be made before determining the diagnosis. Treatment must be thorough and prolonged. We have used both salvarsan and mercury by inunction with good results. I A rare form of ulceration of the rectum is part of a general infection with schistosoma hematobium. Aclinomycosis is rarely found in the rectum. When ulceration occurs it is secondary to infection in the intestinal tract. Carcinomatous ulcers of the rectum are frequent and resemble simple ulcers. The diagnosis is made from the examination of tissue removed from the ulcer. Gonorrhazal ulcers follow long-standing gonorrhmal infection of the rectum. The finding of the gonococcus determines the diagnosis. Strictures.--Perirectal inflammation which is secondary to inflammation in the surrounding organs may become so marked that the lumen of the bowel is narrowed. Spasmodic stricture may occur, caused by the constant irritation of an ulcer or sore in the rectum by the hardened farces. ' Simjble inflammation causes stricture only when the fibrous tissue of the bowel is involved. Too deep cauterization and the removal of large pieces of tissue for examination have often resulted in stricture. Trauma from within or without the rectum and the resulting infection are very frequently the cause of extensive stricture, e.g., the pressure of the foetal head in prolonged pregnancy, the retention of large faecal masses in the rectum and the removal of large pieces of bowel wall during operations....
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