Verwandte Artikel zu A Text-Book of Surgery Volume 1
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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. 1901 Excerpt: ...a particularly unfavourable course, sometimes with great rapidity. Tuberculosis of the testicle and epididymis--originating either primarily or secondarily to tuberculosis of the vas deferens or the genito-urinary apparatus--usually occurs in young or middle-aged men, and even old men are not exempt. In general it is best, as soon as possible, to remove the tubercular focus in order to prevent the process from involving the other testicle or the spermatic cord, prostate, and bladder. Tuberculosis of the spermatic cord is characterised by an even thickening or a nodular swelling in the course of the vas deferens. Tuberculosis of the bladder, urethra, and kidneys is very typical, and belongs to the severest of the tubercular diseases. Tuberculosis of the bladder has hitherto resisted all attempts to cure it. The demonstration at an early period of talrcrcle bacilli in the urine is of great practical importance. For tuberculosis of the kidney or its pelvis, it is best, at as early a stage as possible, to undertake operative treatment in the form of neplirotomy or nephrectomy. I must refer the reader to my text-book of special surgery and to the text-books on gynaecology for tuberculosis of the penis, vagina, and uterus. In rare instances inoculation with tuberculosis may take place on the external genitals as a result of coitus (Kraske, Schmidt). Tuberculosis of the mamma is, according to Billroth, Volkmann, and others, very rare, and its diagnosis is only possible in the later stages. In every case of tuberculosis of the breast the entire mamma, with the corresponding axillary lymphatic glands, should be removed. Tuberculosis of Bones, Joints, and Tendon Sheaths.--For tuberculosis of bones, joints, and tendon sheaths the reader is referred to the paragraphs u...
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