The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
=Diagnosis.=--Chancroid is likely to be confounded with _chancre_ and
_herpes preputialis_. It has no period of incubation. Destruction
commences after infection, so that within twenty-four hours macroscopic
evidence may be observed, and within two or three days the sore has
attained distinct size and shape.
_Chancroid._ _Chancre._ _Herpes._
Local ulcer. First local sign of a Local neurosis.
constitutional
disease.
A distinctly venereal Usually a venereal May be non-venereal,
infection. infection. from friction, irri-
tation, uncleanliness,
etc.
No incubation; lesion Incubation from ten to No incubation.
noticed within a few seventy days before
days. first lymphatic in-
duration.
Commences and remains Commences as a papule, Commences as a crop
as an ulcer. or occasionally as an of vesicles.
erosion. This _may_
ulcerate later.
Usually multiple. Usually single. Multiple and occurring
in crops or series.
Secretion purulent Secretion slight and Little or no secretion.
and abundant. serous or bloody.
May occur again and As a rule, it only Patients who once have
again. occurs once in the it are frequently
same patient. subject to it.
Auto-inoculable. Not auto-inoculable. Not inoculable.
Phagedena frequent. Phagedenic action very Never.
rare.
Buboes in about 65 Bubonic enlargement Lymphatics rarely
per cent. of cases. nearly always. involved.
Buboes usually Buboes as a rule do
suppurate. not suppurate.
=Prognosis.=--Except in the most debilitated and dissipated, in whom
phagedena may prove fatal, recovery always occurs, but often with the
loss of tissue and disfiguring scars.
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