File:Tri-State medical journal and practitioner (1897) (14591711070).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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s previous to having come undermy care, patient claims to have not passeda drop of urine. The picture presented by patient on his entry in the hospital was as follows: 424 Original Articles. Profuse cold sweat on face, hands and extremities, pulse very rapidand of poor volume, anxious expression of face, temperature 101 , tonguedry. The distended bladder extended to the umbilicus. The structurescomposing the abdominal wall in the right and left inguinal and pubicregions, together with the perineum, scrotum and penis, were gangrenous,and extensive sloughing was present, owing to the infiltration of theseregions with urine. Phimosis was marked. After anaesthetizing patient attempts were made to pass a filiformbougie, which could not be done, owing to a tight stricture in the mem-branous portion of urethra. Numerous false passages were present. Anexternal perineal urethrotomy was performed, according to Cocks.method;the redundant and contracted prepuce was excised, and numerous incisions
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Dr. Sutters Case of Sloughing of the Perineal Tissues. were made over the infiltrated gangrenous area. Through these tissues agreat amount of pus and extravasated urine exuded. The stricture was ex-cised. Patient made an uneventful recovery; the perineal wound closedcompletely. The scrotum and penis were very much contracted, owing tothe loss of tissue. A No. 29 sound could be passed with ease by patientwhen he was discharged from the hospital. This patient had much marked infiltration of urine and gangreneresulting therefrom. I have had an opportunity of noticing very marked cases of infiltra-tion resulting in sloughing of tissues, but this case is one of the mostsevere that I have seen. Keloid—Oh mann-Dum esn i l. 425 KELOID. By A. H. Ohmann-Dumesxil, Saint Louis. VERY dermatologist knows that there aremany skin diseases which are but rarelyor never observed in Caucasians but whichnevertheless, are seen rather frequently inotherraces. This is said to be dependentupon susceptibilit

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