File:Tri-State medical journal and practitioner (1897) (14776114654).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 looked as if it had been run over by a wagon-wheel. The pos-terior surface of the organ was involved from the perineum to the glans,which had remained intact. The tissues were destroyed extensively, althoughthe urethra was spared. The phagedenic process was plainly apparent,large shreds of dead, suppurating, and even putrefying, tissue existing.The whole surface looked ragged and bled at the slightest touch. The de-stroyed surface was about three inches in width at its broadest part. Thegeneral increase in size can best be judged by a reference to the illustra-tion. The appearance of the affected surface can also be seen and theamount of destruction noted. Yet, notwithstanding the deplorable condi-tion which existed, a rapid improvement manifested itself directly after thephagedenic surface had been thoroughly cauterized with fuming nitricacid. A subsequent iodoform and gauze dressing acted so well that thepatient left the City Hospital, where he had been treated, before the trouble
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FlG. 2. Kxtensive Phagedenic Chancroid of Penis, was entirely healed. His subsequent history is unknown to me, but thereis no doubt that the healing process which had well progressed continuedwithout any further incident. When phagedenic chancroid attacks a woman the destruction is alwaysgreater than in a man, owing to the fact that a much larger surface is pre-sented by the external genitalia. It is not unusual for the labia minoraand clitoris to be destroyed, the labia majora also suffering severely. InFigure 3 may be seen a picture of a case in which both labia minora, theright labium niajus and the clitoris were destroyed. The encroachmentof the process on the right buttock is also plainly seen, as well as the iso-lated patches of destruction separated from the main phagedena. It is notat all unusual for the phagedenic process to encroach upon the vagina, andsubsequently lead to a greater or less atresia or stricture, caused by repar-ative cicatrization. In the case shown in Figur

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