. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. ?•. Fig. 33. Concave Mibbob to Reflect Condensed Light into the Rectum. The head band may be bemoved and a handle attached at pleasube. Diagnosis.—If pus is discharged from the anus, andthe patient shows other signs of tertiary syphilis, and if onexamination one or more ulcers are found without otherknown cause, they may be presumed to be syphilitic. If theerosion exists on the suiface of a tender and painful tumor,not seeming to be simply inflammatory, it will generally be la RECTAL AND ANAL SURGE
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. ?•. Fig. 33. Concave Mibbob to Reflect Condensed Light into the Rectum. The head band may be bemoved and a handle attached at pleasube. Diagnosis.—If pus is discharged from the anus, andthe patient shows other signs of tertiary syphilis, and if onexamination one or more ulcers are found without otherknown cause, they may be presumed to be syphilitic. If theerosion exists on the suiface of a tender and painful tumor,not seeming to be simply inflammatory, it will generally be la RECTAL AND ANAL SURGERY. fouud cancerous. Tlie inicinscope will complete the diag-nosis. If a tuberculosis diathesis is present, or suspected,the microscopic search for the tubercle bacilhis will assistthe diagnosis, even if we do not accept the bacillus as acause. When we have to deal with simple ulceration well abovethe verge, the linger often helps to determine their size andlocation, but it is not sufhcieut for a full investigation. Inthese deep cases we need the tubular form of speculum, andfrequently must et
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Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases
