A system of surgery : pathological, diagnostic, therapeutic, and operative . i-son of Benjamin Bell, like a split pea, set in the tissuesimmediately around the chancre. The induration beginsabout the end of the fifth day, and generally attains itsmaximum by the end of the tenth or twelfth. The amountof induration of the base varies ; in general, it will be indurated chancre, found to be less on the prepuce than on the head of the penis, the nature of the affected tissues doubtless influencing the result; and itUsually lasts some time after the chancre is completely cicatrized, a circumstance,a
A system of surgery : pathological, diagnostic, therapeutic, and operative . i-son of Benjamin Bell, like a split pea, set in the tissuesimmediately around the chancre. The induration beginsabout the end of the fifth day, and generally attains itsmaximum by the end of the tenth or twelfth. The amountof induration of the base varies ; in general, it will be indurated chancre, found to be less on the prepuce than on the head of the penis, the nature of the affected tissues doubtless influencing the result; and itUsually lasts some time after the chancre is completely cicatrized, a circumstance,as will be shown by and by, of great practical moment. The indurated chancre, if not generally solitary, is certainly so, on an average,in nearly five cases out of six; for I find that, of 848 cases observed by Fournier,Clerc and Hammond, 185 only were multiple. Occasionally, though rarely, thenumber ranges from two to six, or even as high as nineteen, as in an instancewitnessed by Fournier. It has no distinct areola; its march is indolent; and it furnishes a thin, serous,. CHAP. IX. CHANCEE. 279 sanguinolent, or ichorous fluid, small in quantity, and difficult of , unless the matter come in contact with a raw surface, or a surface welladapted for its absorption, a second chancre seldom arises during the progressof the primary one. Another feature of the indurated chancre is its extremeliability to infect the lymphatic ganglions and the general system, few persons,if any, escaping contamination after it has reached maturity. The soft chancre, also generally of a rounded form, but less regularly so thanthe hard, is much more common than the latter, and is often multiple, from threeto six or eight occasionally occurring in the same subject. It is particularlyprone to show itself at the free margin of the prepuce, and at, or just behind,the corona of the penis. Several often arise simultaneously, and others are liableto form during their progress from fresh inocula
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