The surgical diseases of the genito-urinary organs including syphilis . DIAGNOSTIC TABLE-HYDROCELE-INCARCEIIATED HERNIA. Hijdrocde. 1. Largest below. 2. Commences gradually. Incarcerated Hernia. 1. Largest above. 2. Comes on suddenly. 378 DISEASES OF THE TESTICLE. Commences at the bottom of tliescrotum, anil grows up. 4. Is tense or fluctuating. 5. Cord can be maile out (normal) abovetumor. 0. Testicle can not be founJ. 1. Dullness on percussion. 8. Tumor heavy, but movable. 9. KeJuction impossible. 10. Size usually constant. 11. Test by aspiration completes thediagnosis. Incarc
The surgical diseases of the genito-urinary organs including syphilis . DIAGNOSTIC TABLE-HYDROCELE-INCARCEIIATED HERNIA. Hijdrocde. 1. Largest below. 2. Commences gradually. Incarcerated Hernia. 1. Largest above. 2. Comes on suddenly. 378 DISEASES OF THE TESTICLE. Commences at the bottom of tliescrotum, anil grows up. 4. Is tense or fluctuating. 5. Cord can be maile out (normal) abovetumor. 0. Testicle can not be founJ. 1. Dullness on percussion. 8. Tumor heavy, but movable. 9. KeJuction impossible. 10. Size usually constant. 11. Test by aspiration completes thediagnosis. Incarcerated Commences at the external ring andgrows down. 4. Usually doughy. 5. Cord can not be distinguished, or isfelt as distinct from tumor. 6. Testicle can usually be separatedfrom tumor posteriorly. 7. Resonance on percussion (unless her-nia be omental). 8. Tumor unwieldy. 9. Ilcduction impossible. 10. Size varies at short Simple hydrocele may be complicated with incarcerated or simpleheruia (Fig, 108). True and false hydrocele of a hernial sac and con-genital hernia in connection with hydrocele will be considered of pain makes diagnosis easy Avith all inflammatory acutemaladies. Smoothness of surface distinguisheshydrocele from cancer, cystic and tuberculardisease. Treatment of Hydrocele.— Hydrocele iscured by causing the fluid to be reabsorbed, byarresting the secreting activity of the tunicavaginalis, or by excising the walls of the tunicby a cutting operation. Absorption occurs oc-casionally in the young, and, as a rule, in acutehydrocele spontaneousl}. The treatment is pal-liative and radical. Tapping.—This is best performed with theaspirator (using needle No. 2, Dieulafoy). Theskin is made tense, and the needle plunged into the anterior ]iarfc ofthe tumor, a little above the middle. The testicle should be carefullyavoided. This simple operation will always efface the tumor at onc
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsyphilis, bookyear188
