A system of surgery : pathological, diagnostic, therapeutic, and operative . hemorrhage from the sudden giving way of an artery of considerable size. Syphilitic involvement of the lungs is uncommon. The disease, when it occurshere, generally presents itself in the form of gummy tubercles, either single orgrouped, of variable size and shape, of a dirty grayish color, and of a tolerablyfirm consistence. The tubercles sometimes exist in large numbers, and are thennot always very easily distinguished from ordinary scrofulous tubercles. Thematter which is formed during their disintegration is of an


A system of surgery : pathological, diagnostic, therapeutic, and operative . hemorrhage from the sudden giving way of an artery of considerable size. Syphilitic involvement of the lungs is uncommon. The disease, when it occurshere, generally presents itself in the form of gummy tubercles, either single orgrouped, of variable size and shape, of a dirty grayish color, and of a tolerablyfirm consistence. The tubercles sometimes exist in large numbers, and are thennot always very easily distinguished from ordinary scrofulous tubercles. Thematter which is formed during their disintegration is of an unhealthy character,and often remarkably fetid and putrilaginous. The diagnosis is deduced from the history of the case, the presence of cough,the gradual decline of the general health, and the existence of syphilis in otherparts of the body. The bronchial tubes are sometimes inflamed and ulcerated in this disease ; thebronchial Ijanphatic ganglions are also liable to suffer, and the pleura is occa-sionally studded with tubercles and covered with sero-purulent Syphilitic ulceratioa of the larynx. 6. SYPHILIS OF THE EYE. Iritis belongs to the more advanced stages of syphilis, being usually associatedwith tubercular, papular, or pustular eruptions, rupial sores, nodes, and rheuma-tism of the bones, and ulceration of the throat, palate, and nose. It is charac-terized by a fixed and contracted state of the pupil, which is generally filled with 314 SYPHILIS. CHAP. IX. lymph and displaced upward and inward ; by the appearance, upon the anteriorsurface of the iris, of reddish-brown tubercles, or minute yellowish abscesses;and by severe nocturnal pains, situated deep in the eye, forehead and disease commonly attacks both organs, either simultaneously or successively,and always rapidly extends to the other structures, as the cornea, choroid, andretina, involving them in its ruinous consequences, few persons recovering withoutloss of sight. As allusion will again b


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery