This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 Excerpt: ... this complication with every attack of urethritis. It rarely begins during the acute stage of the affection, being most likely to occur after the disease has become more or less chronic. I have known it to occur within three days after the onset of the disease. Few diseases have been the source of more controversy ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 Excerpt: ... this complication with every attack of urethritis. It rarely begins during the acute stage of the affection, being most likely to occur after the disease has become more or less chronic. I have known it to occur within three days after the onset of the disease. Few diseases have been the source of more controversy regarding their origin than has gonorrhoeal rheumatism, and as yet its pathology must be regarded as sub judice. It does not appear to arise as a consequence of varying atmospheric conditions, from over-exertion, nor, it is claimed, from any particular method of treatment of urethritis. The latter proposition however, I am inclined to question, from practical experience with the disease, especially in connection with a case which recently came under my observation, in which the disease followed successful abortive treatment. Its dependence upon purulent inflammation of the urethra is all that has so far been absolutely established, and, as a case which I shall shortly relate tends to demonstrate, it is by no means necessary that actual suppuration of the mucous membrane should be present in order to give rise to it. It is claimed that, inasmuch as it occurs independently of the ordinary predisposing and exciting causes of rheumatism, and is seen in only a small proportion of the subjects of urethritis, it must necessarily be the result of individual idiosyncrasy. There is probably much of truth in this assertion. The most universal opinion in regard to the pathology of gonorrhoeal rheumatism is that it is a mild sort of pyaemic infection, due to absorption of the products of purulent inflammation of the urethral mucous membrane. There is hardly a doubt of the correctness of this view; still, as might be supposed, it would be difficult to positive...
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