The Hahnemannian monthly . is history : About three weeks beforehad had a suspicious intercourse. A week later observed a smarting 1891.] Penile Gangrene—a Case, with Photographs. 379 and tenderness upon the left side of the glands and some oedema ofthe prepuce. lie had phymosis and a very small prepucial os. The soreness and swelling increased for four or five days, when he b1-came unable to void the urine. This condition of retention lasted,according to patients statement, eleven days and nights. His cloth-ing would not meet across the abdomen and he had the appearanceof a woman ready to be
The Hahnemannian monthly . is history : About three weeks beforehad had a suspicious intercourse. A week later observed a smarting 1891.] Penile Gangrene—a Case, with Photographs. 379 and tenderness upon the left side of the glands and some oedema ofthe prepuce. lie had phymosis and a very small prepucial os. The soreness and swelling increased for four or five days, when he b1-came unable to void the urine. This condition of retention lasted,according to patients statement, eleven days and nights. His cloth-ing would not meet across the abdomen and he had the appearanceof a woman ready to be confined. Two days before I saw him hepurchased a pint of gin and sweet spirits of niter—equal parts—andtook it at one dose. Said he had stoppage* when in the army andthe surgeon gave him this prescription. The urine began to Howthat night, but could not escape the prepuce and formed a tumorupon the end of the penis as large as the crown of a hat. Theextravasation beneath the prepuce continued until he could tolerate. the pain no longer when he incised it with a jack-knife and voideda wooden pail iull of urine. In a few hours the penis turned blackand the next evening he had haemorrhage almost to syncope beforebeing able to stanch it. On examination I found the organ swollento double its normal proportions, gangrenous to its root, the skinblack, dry and, in place-*, broken. The prepuce had sloughed offback of the glands and adhered only at the frsenum. After removing the hair from near the granulating margin Iapplied a liberal dressing of tar-plaster and carbolized oil. Theconstitutional involvement was profound. Pulse rate 115, tempera-ture 103 degrees F., ghastly pallor of the face, tongue and buccalmucous membrane fiery red, persistent and unquenchable thirst,great prostration, restlessness, sleeplessness and complete anorexia. 380 Hie Hahnemannian Monthly. [June, Gave arsenicum, 3x trituration, every two hours. Saw him againOctober 20th, when the negative of photograp
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