. Southern medicine and surgery [serial]. ronic cough, colds, dysp-nea, headaches, nervousness or pain. Six months before presenting himself he noticed a smallsore on the right side of tongue which healed without anytreatment. In two months this sequence repeated month ago a sore appeared in the same area and wastreated by a druggist with lunar caustic. A week later heconsulted his family physician who referred him to a urol-ogist for dark-field examination, which, three times repeated,was negative for the spirochete. Blood Wassermann exam-ination was negative. Three doses of neoars
. Southern medicine and surgery [serial]. ronic cough, colds, dysp-nea, headaches, nervousness or pain. Six months before presenting himself he noticed a smallsore on the right side of tongue which healed without anytreatment. In two months this sequence repeated month ago a sore appeared in the same area and wastreated by a druggist with lunar caustic. A week later heconsulted his family physician who referred him to a urol-ogist for dark-field examination, which, three times repeated,was negative for the spirochete. Blood Wassermann exam-ination was negative. Three doses of neoarsphenamine andone of bismuth were given; the lesion enlarged and becamepainful. Routine physical examination revealed nothingsignificant other than as reported below. An ulcer on the tongue H x J4 x J4 in. in the middle1/3 of the right side of the tongue, red indurated withgrayish base. No free pus exudes from this area and it isnot particularly painful. The tongue protrudes in the me-dian line with slight tremor. No palpable nodes Hbg. 85 per cent., reds 4,880,000, whites 10,500—N. 81,L. 12, E. 1, Mon. 4, B. 2; Wassermann negative; urine—albumin and sugar negative, sp. gr. , sediment negative;b. p. 138/80, wt. 135. X-ray reported by Dr. J. Rush Shull: Stereoscopic filmsof the chest show a well nourished symmetrical bony frame,with the trachea in mid line, heart and aorta normal insize, shape and position. The diaphragm domes are smoothand the cardio-phrenic and costo-phrenic angles are lung fields throughout the chest are negative for evi-dence of fluid, infiltration or consolidation. The bronchialmarkings show a fairly generalized increase but are other-wise negative. The hilum shadows are slightly denser thannormal and contains numerous calcified tnchei-bronchiallymph nodes. Impression: A negative chest. Examination of the throat by Dr. J. G. Johnston: Thethroat is slightly red, vocal cords normal color, no rough-ness or thickening, no evidence of t
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
