The Essentials of Medical Gynecology According to the Eclectic, or Specific, Practice of Medicine in the Treatment of Disease (Paperback)

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. 1907. Excerpt: ... In the primary, or initial stage, the initial lesion is manifested by the appearance of a sore or chancre at the point of inoculation, usually somewhere about the vulvovaginal orifice. This sore appears in about one month after inoculation, the period of incubation being about that length of time. The period of incubation may be longer; in fact, it may be as long as seven weeks. The initial lesion appears as a small red spot at the site of inoculation, which later develops a hard base, upon which is situated a papule, or an ulcer surrounded by an indurated margin. In some cases, however, especially in women, the chancre does not present the indurated base. The syphilitic chancre is usually single in contradistinction to that of the soft chancre, or local venereal sore. This is not always the case, as sometimes the local sore may be chancroid in appearance and yet be followed by syphilitic infection. The initial lesion may appear upon any other part of the body depending upon the seat of inoculation. It may therefore appear upon the lip, or the breast of nursing women, or the hand, etc., or somewhere about the anal margin. The duration of the initial lesion varies from a few days to several months, according to the condition of the patient and the treatment. Usually under proper treatment it disappears in from three to six weeks. Following the initial lesion, and forming a part of the primary stage, is the glandular enlargement. This occurs in the lymphatic glands nearest the initial lesion. The lymphatics begin to enlarge in from ten to fifteen days after the appearance of the sore. Usually the whole group of glands forming a chain enlarge, although the gland nearest the sore enlarges first and attains the greatest size. Unless a general inflammation of t...