None
324 of scarlatina, 325 of small-pox, 325 symptoms of, 305 syphilitic, 818, 334 acute, 819 gummatous, 819 fibrosa, 820 interstitial, 819 sclerous, 819 tonsillitis of, 325 traumatic, 325 treatment of, 325 typhoid, 324 912 INDEX Organ of Giraldes, 343 Osteochondritis, syphilitic, 838 Osteoma of scrotum, 296 Osteomyelitis, gummatous, 804 syphilitic, 803 Osteophytes, syphilitic, 841 Osteosyphilosis of cranium, 807 Ostitis, gummatous, 804 rarefying, 803 Otitis media, syphilitic, 835 Oudin high-frequency current, 56 Ovaries, gonorrhoea of, 221 syphilis of, 822 Ovaritis, gonorrhceal, 221 Oxaluria in urethritis, 179 Ozsena, syphilitic, 833 Pachymeningitis, chronic syphilitic, 776 Pain of bladder disease, 4 in calculus pyelitis, 4 in cerebral syphilis, 777 character and intensity of, 4 in chronic inflammation of the pros- tate, 6 of cystitis, 493 acute, and retention, 5 in the glans penis, 6 in healthy bladder, 5 in hydronephrosis, acute, 5 in malignant growth of bladder, 5 of micturition, 6 due to calculus, 7 due to hyperaesthesia, 6 due to inflammation of bladder, 6 of bladder neck, 6 of prostate, 6 due to disease of kidney pelvis, 6 due to ulceration of bladder neck, 6 tubercular, 7 in paraphimosis, 102 during passage of kidney stone, 4 perineal, 5 in pyelitis, chronic, 5 region of, 5 in bladder disease, 5 in kidney disease, 5 of renal calculus, 621 tumors, malignant, 675 suprapubic, diffuse, 5 a symptom, 4 in tubercular ulceration, 5 of tuberculosis of bladder, 504 in urethritis, 177 posterior, 190 of vesical calculus, 511 Palate, syphilis of, 765 Palisade worm, 682 Pancreas, syphilis of, 771, 842 Panophthalmitis, 237 Papilloadenocarcinoma of kidney, 674 Papilloma, 131 of bladder, 544 of kidney, 673 treatment of, 133 Paraesthesia, sexual, 462 Paralysis, syphilitic, 720 Paraphimosis, 101, 120 gonorrhceal, 229 pain in, 102 swelling of, 102 treatment of, 102 Parasites, cause of blood in urine, 8 of kidney, 681 dactylius aculeatus, 682 distoma haematobium, 682 echinococcus, 681 pentastoma denticulatum, 682 spiroptera hominis, 682 strongylus gigas (palisade worm), 682 Paronychia, syphilitic, 757 diagnosis, 758 dry, 757 moist, 758 treatment, 758 Parrot's nodes, 839 Payne's vesical implantation method, 569 Pediculosis of scrotum, 293 Pemphigus, syphilitic, 831 adherent, 96 Penis, absence of, 94 anatomy of, 91 angioma of, 131 anomalies of, 94 concealed, treatment of, 94 contusion of, 103 treatment of, 104 cysts of, 131 dislocation of, 105 double, 96 eczema of, 106 epithelioma of, 134 diagnosis of, 137 etiology of, 136 prognosis and treatment of, 137 erection of, mechanism of, 433 extirpation of, 138 fibroma of, 131 fracture of, 105, 247 gangrene of, 106, 109 treatment of, 106 horny growths of, 134 hypertrophy of, 95, 107 inflammatory affections of, 106 injuries of, 103 lymphadenitis of, 109 INDEX 913 Penis, lymphangitis of, 107 symptoms of, 107 treatment of, 108 malignant disease of, 134 megalo-, 95 micro-, 95 partial amputation of, 137 phlebitis of dorsal vein of, 108 surgery of, 91 syphilis of, 137 torsion of, 96 tumors of, 131 benign, 131 malignant, 131 wounds of, 104 incised, 104 lacerated, 105 punctured, 105 treatment of, 104 Pentastoma denticulatum, 682 Periarthritis, gonorrhoeal, 242, 244 Pericystitis, cicatricial, 501 suppurative, 501 Perimetritis, gonorrhoeal, 222 treatment, 222 Perineal section, 282 in urethral stricture, 285 indications for, 287 Perinephritis, 645 character of, 646 diagnosis of, 648 prognosis, 650 symptoms. Prostate, anatomy of, 381 atrophy of, 427 bacterin therapy in diseases of, 88 calculi of, 427 corpora amylacea, 427 diagnosis of, 428 symptoms of, 428 treatment of, 428 carcinoma of, 429 course of, 430 diagnosis of, 430 prognosis of, 431 symptoms of, 430 treatment of, 431 palliative, 432 contusion of, 384 cysts of, 428 hydatid, 428 retention, 428 enlarged, 397 retention of urine from, 67 diagnosis of, 69 symptoms, 69 914 INDEX Prostate, enlargement of, retention of urine from, treatment, 70 hypertrophy of, 258, 397 diagnosis of, 404 differential diagnosis of, 407 examination, with instruments, 405 by rectal palpation, 404 etiology of, 400 morbid anatomy of, 397 pathology of, 400 prognosis of, 408 prostatectomy, perineal, 418 symptoms of, 402 frequency of urination, 403 treatment of, 409 operative, 411 castration for, 426 preparation for, 411 prostatectomy, choice of, 415 epididymitis after, 426 mortality of, 426 perineal, post-operative treatment, 423 median, 418 technic of, 418 transverse, 419 technic of, 419 results of, 426 suprapubic, 416 operative results, 418 postoperative treatment, 417 technic of, 416 " prostatic punch " operation, 413 prostatotomy, 413 galvano-cautery, 415 via perineum (Chet- wood), 415 suprapubic (Bouffleur), 415 perineal, 413 stretching of internal vesical sphincter, 412 palliative, 409 catheterism in, 410 complications of, 411 indications for, 410 by intermittent dilatation, 409 massage, 410 medicinal, 409 by radium, 410 by rectal injections, 410 vasectomy, 426 preoperative, 41! retention of urine, 404, 408 inflammation of, 386 injuries of, 384 irritable, 394 Prostate, prognosis of, 385 diagnosis of, 395 treatment of, 395 malignant diseases of, 429 physiology of, 384 sarcoma of, 432 diagnosis of, 432 symptoms of, 432 treatment of, 432 syphilis of, 821 tuberculosis of, 395 diagnosis of, 396 prognosis of, 396 symptoms of, 396 treatment of, 396 wounds of, 384 complications of, 385 prognosis of, 385 treatment of, 385 Prostatectomy (see Prostate), 415 epididymitis after, 426 perineal, 418 suprapubic, 416 Prostatic calculi, 427 punch operation, 413 Prostatitis, 386 acute, 386 causes of, 386 complications of, 389 diagnosis of, 388 follicular, 232 pathology of, 386 prognosis of, 388 simple, 232 symptoms of, 388 treatment of, 389 chronic, 390, 407 causes of, 390 diagnosis of, 392 pathology of, 390 prognosis of, 392 symptoms of, 391 treatment of, 393 massage, 393 gonorrhoeal, 232 parenchymatous, 233 tuberculin in use of, 90 tuberculous, 395 Prostatopelvic carcinosis of Guyon, 431 Prostatorrhoea, 444 causes of, 445 symptoms of, 445 treatment of, 445 Prostatotomy (see Prostate), 413 galvano cautery via perineum (ChetwoodX 415 suprapubic (Bouffleur), 415 perineal, 413 Pruritus of scrotum, 293 INDEX 915 Pupil, Argyll-Robertson, 786 Pus in urethra, 14 in urine, 10 Pseudo-chancre, 688 Pseudohermaphroditism, 96 male, 94 Psoriasis, mucous syphilitic, 761 Psychical hermaphroditism, 463 Psychopathia sexualis, 455 Psychrophore, use of, in impotence, 443 Pyelitis, 626, 633 acute, 633 symptoms of, 635 catarrhal, 633 chronic, 633 symptoms of, 635 diagnosis of, 635 gonorrhceal, 234 granulosa, 633 prognosis of, 635 symptoms of, 634 urinary, 635 treatment of, 635 by lavage, 54 Pyelonephritis, 640 causes of, 640 diagnosis and treatment of, 642 pathology of, 641 symptoms of, 641 tuberculous, 642 Pyelotomy, 630 Pyonephrosis, 636 closed, 636 diagnosis and symptoms of, 637 differential diagnosis, 638 treatment of, 639 tuberculous, 654 Pyorrhoea alveolaris, syphilitic, 765 Pyuria, 10, 624 in cystitis, 493 intermittent, 577 Radiography, combined with cystos- copy, 53 Radium, in prostatic enlargement, 410 use of vesical tumors, 552 Reaction, complement fixation, of syphilis, 846 Jarisch-Herxheimer, 806 luetin, 857 Wassermann, 846 Rectal injections in prostatic enlarge- ment, 410 Rectum, gonorrhoea of, 235 syphilis of, 772 Renal infarct, 651 infections, 632 Retinitis, syphilitic, 794 Retrograde catheterization, 286 Rhabdomyoma of kidney, 670 Rheumatism, gonorrhceal, 240 differentiated from gonorrhceal arthritis, 242 Rhinitis, syphilitic, acute, 796 atrophic, 797 hypertrophic, 797 Rickets and syphilis, 840 Rontgenology combined with cystot- omy, 53 Roseola, syphilitic, 723, 829 Rupture of bladder (see Bladder), 481 of ureter, 566 of urethra, 158 Sadism, 462 Salpingitis, gonorrhceal, 221 Salvarsan, 866 administration of, 868 preparation of, 869 Sarcocele, syphilitic, 819 diagnosis of, 820 Sarcoma of bladder, 548 of kidney, 672 of prostate, 432 of spermatic cord, 366 of testicle, 335 Satyriasis, 460 Schistosomum haematobium, 489 Sclera, syphilis of, 792 Scrotum, ablation of, in varicocele, 370 anatomy of, 290 cutaneous affections of, 291 cysts of, 296 sebaceous, 294 dartos of, 290 deformities of, 290 eczema of, 106, 292 marginatum of, 293 elephantiasis of, 295 treatment of, 295 emphysema of, 291 enchondromata of, 296 epithelioma of, 295 treatment of, 296 erythema intertrigo of, 292 fibroma, 296 gangrene of, 294 treatment of, 295 gumma of, 296 injuries of, 291 molluscum contagiosum of, 293 oedema of, 291 osteoma of, 296 pediculosis of, 293 pityriasis of, 292 pruritus of, 293 steatoma of, 294 tumors of, 295 916 INDEX Scrotum, tumors of, fatty, 296 wounds of, 291 Semen, character of, 434 Seminal vesicles, 300, 372 anatomy of, 300, 372 anomalies of, 372 bacterin therapy in diseases of, 88 cystic swelling of, 379 inflammation of (see Vesiculitis, Seminal), 375 injuries of, 374 malignant growths of, 379 physiology of, 374 syphilis of, 821 Serum, gonococcus, 90 normal, 90 therapy, in epididymitis, 88 in urethral conditions, 213 Sexual anaesthesia, 461 parsesthesia, 462 algolagnia, 462 masochism, 462 sadism, 462 psychopathies, 455 hyperaesthesia, 455 onanism, 455 weakness, 433 Shreds, gonorrhoeal, 185 Silver nitrate, in acute posterior ureth- ritis, 204 " Silvery spot," 695 Sinusitis, paraurethral treatment of, 208 Skin, syphilis of, 716 Skull, syphilis of, 776 Snuffles, 833 Sound, introduction of the, 268, 272 Space of Retzius, 501 abscess in the, 501 Spermatic cord (see Cord), 364 Spermatocystic concretions, 380 Spermatocystitis, 375 Spermatorrhoea, 445, 447 treatment of, 448 Sphincter, internal vesical, stretching of, in prostatic enlargement, 412 Spina bifida and exstrophy of bladder, 471 Spinal cord, syphilis of (see Syphilis), 784, 841 Spirochseta pallida, 687, 855 Spiroptera hominis, 682 Spleen, syphilis of, 815, 842 Spongy body of penis, 91 Squier's extraperitoneal cystotcmy, 557 Staining of acid-fast bacteria, 19 in genito-urinary investigations, 19 Gram's method, 19 Giemsa's method, 856 Tribondeau's modification. 856 Stamping test for renal calculus, 625 Steatoma of scrotum, 294 Sterility, 433 aspermia, 451 false, 451 azoospermia, 452 cause of, 452 in the male, 450 oligospermia, 452 oligozoospermia, 452 treatment of, 452 by anastomosis of vas, 452 in urethral stricture, 454 Stomach, syphilis of, 768 Stone in kidneys, 618 searcher, vesical, 514 Thompson's 514 Stricture of bladder, 467 of ureter, 572 of urethra, 245 acquired, 245 annular, 248 calibre of, 248 standard of, 250 catheterization, retrograde, 287 changes in urethra, 252 cicatricial, 248 clinical forms, 248 congenital, 245 contractile, 248 diagnosis of, 256 dilatation in, continuous, 277 indications for, 287 instruments for, 277 gradual, 287 epithelial changes in, 253 excision in, 287 extravasation of urine in, 258 fistula due to, 252 following ulceration, 252 gleet in, 255 gonorrhoeal, 252 impermeable, 248 perineal section for, 282 inflammatory, 245 linear, 248 location of, 250 obliteration in, 254 organic, 247 permeable, 248 Syme's operation for, 283 perineal section in, 287 prognosis of, after external per- ineal urethrotomy, 2C4 recurring, 248 resilient, 248 results of, 258 retention of urine, from, 79 sclerodermatous, 248 INDEX 917 Stricture of urethra, section of, 254 simple, 248 soft or recent, 248 spasmodic, 245 diagnosis, 246 treatment, 246 suprapubic cystotomy, 287 symptoms of, 254 constitutional, 255 objective, 255 subjective, 254 alterations in micturition, 254 interference with coition, 255 urethral discharge, 255 history, 254 tortuous, 248 traumatic, 247, 252, 253 treatment of, by excision, 287 by meatotomy, 278 by perineal section, 285 by retrograde catheterization, 286 by urethrotomy, 275, 278 combined internal and external, 284 indications for, 287 external perineal, indications for, 287 internal, indications for, 287 summary of treatment of. 287 Stricture of urethra (male), dilatation in continuous, 275 differential diagnosis from hypertrophy of prostate, 258 effect of, on bladder, 261 on kidneys, 261 on ureters, 261 extravasation of urine in, prog- nosis, 260 symptoms, 258 localizing, 259 treatment, 260 instruments for diagnosis, 256 prognosis of, 262 treatment of, 271 by gradual dilatation, 272 small calibre, filiform bougies, 274 treatment of, 273 (female), 287 diagnosis, 288 inflammatory, 288 organic, 288 prognosis, 289 spasmodic, 287 symptoms, 288 treatment, 289 Strongylus gigas, 682 Stuttering urination, 13 Suprarenal glands, 683 abscess of, 683 anatomy of, 683 cysts of, 686 tuberculosis of, 683 tumors of, 684 benign, 684 Glynn's classification of, 684 malignant, 684 symptoms, 684 treatment, 685 Swinburne tube, 35 Syme's operation for urethral stricture, 283 Synorchism, 301 Synoritis, syphilitic, 809 acute, monarticular, 809 polyarticular, 809 hypertrophic, 809 Symptoms and signs, cardinal, 4 Syphilide (erythematous), of mucous membrane, 759 papular (see Syphilis, mucous patches), 759 papulo-squamous, 761 of skin, bullous, 750 classification of, 720 erythematous, 722 diagnosis, 726 treatment of, 888 gummatcus, 750 diagnosis, 755 stages of, 752 hereditary, 829 bullous, 831 differential diagnosis, 832 erythematous (roseolar), 829 gummatous, 831 papular, 830 pustular, 830 tubercular, 831 diagnosis, 831 vesicular, 830 papular, 724 diagnosis of, 731 flat, 728 large, 728 large, conical, 728 moist (mucous patch), 728 prognosis, 734 small, 728 acuminated, 728 lenticular, 728 treatment of, 888 papulo-squamous, 734 diagnosis, 735 prognosis, 736 pathology of, 721 pigmentary, 744 918 INDEX Syphilide, skin of, pigmentary, diffuse, 745 marbled, 745 rounded, oval or irregular, 745 pustular, 737 large, 739 diagnosis, 739 small, 740 diagnosis, 739 flat, large, 741 diagnosis, 742 small, 739 diagnosis, 740 treatment of, 890 pustulo-crustaceous, 742 treatment of, 890 secondary, 716 cutaneous, 716 mucous, 716 serpiginous, 742 tertiary, 721 treatment of, 887 tubercular, 745 diagnosis, 749 differential diagnosis from lupus vulgaris, 749 non-ulcerating, 747 serpiginous, 749 treatment of, 890 ulcerating, 748 tuberculosquamous, 748 ulcerating papular, 118 vesicular, 736 eczematous, 736 herpetic, 737 treatment of, 737 varicelloid, 736 of urethra, 821 Syphilis, 687 atypical, 689 benign, 689 chancre in (see Chancre), 691 constitutional, 713 analgesia, 720 of alimentary canal, 767 alopecia, 719, 756 of anus, 772 of arteries, 813 prognosis, 813 symptoms, 813 of bladder (see Bladder), 500, 506, 817 diagnosis of, 506 blood, alteration in, 713 bones, 720, 803 cranium, 807 face, 808 osteomyelitis, gummatous, 804 circumscribed, 804 diffuse, 805 Syphilis of bones, osteomyelitis, gum- matous, symptoms, 806 osteoperiostitis (precocious periostitis), 803 ostitis, gummatous, 804 rarefying, 803 periostitis, gummatous, 804 phalanges, 808 tibia, 808 vertebrae, 808 of brain, 774 diagnosis, 779, 782 blood-serum, 782 cerebrospinal fluid, 783 Lange's gold test, 783 etiology, 774 pathology, 775 arteries, 777 of dura mater, 776 endarteritis, 776 gumma formation, 775 progress of, 775 pachymeningitis, 776 pia mater, 776 postmortem appearance of, 776 prognosis and treatment, 783 symptoms, 777 apoplectic, 781 epileptic, 781 headache, parasyphilitic, 780 prodromal, 777 of tertiary lesions, treat- ment of, 779 secondary, 778 treatment, 779 neuralgia, 778 pain, 777 psychical, 781 time of appearance, 774 of cardiovascular system, 812, of central nervous system, treat- ment of, 893 intravenous injection, 893 neosalvarsan, 893 subdural injection, 893 cephalalgia, 720 of chorioid, 793 of ciliary body, 793 Colles's law, 687, 708, 826 conceptional, 826 forms of, 826 of cornea keratitis, interstitial, 791 punctate keratitis, 792 diagnosis of, 713 laboratory, 846 cerebrospinal fluid, cvtologi- cal examination, 858 INDEX 919 Syphilis, diagnosis of, laboratory, cere- brospinal fluid, globulin tests, 858 butyric acid, 858 Pandy, 858 Ross-Jones, 858 Lange's colloidal gold test, 858 technic of, 858 luetin reaction, 857 negative, 857 positive, 857 Wassermann reaction (see Wassermann Reaction), 846 serum, 846 of ear, 795 otitis media, 795 diagnosis and treatment, 796 of epiglottis, 800 of epididymis, 334, 720, 817 diagnosis of, 818 treatment of, 818 erectile bodies of penis, 821 diagnosis, 821 secondary, 716 erythematous, 718 mucous patch, 718 skin (see Syphilides), 720 mercurial treatment, 718 polymorphism, 717 raw ham or copper color, 717 secondary, general features, 716 superficial character, 718 symmetrical development, 717 without subjective symptoms, 717 of eyes, 791 muscles, 795 fever in, 714 diagnosis, 715 glandular enlargement, 714 of gums, 765 of heart, 812 endocarditis, 813 myocarditis, 812 pericarditis, 813 prognosis, 813 symptoms, 813 hydrargyrism in, 881 of intestines, 768 iodism, 885 of iris, 792 iritis, 720 gummatous, 792 parenchymatous, 792 plastic, 792 serous (serous cyclitis), 792 prognosis, 793 Syphilis, iritis, treatment of, 793 of joints, 715, 720, 809 arthralgia, 809 arthritis, gummatous, 809 diagnosis, 810 prognosis, 810 synovitis, 809 acute monarticular, 809 polyarticular, 809 hypertrophic, 809 treatment, 810 of kidneys, 816 amyloid degeneration, 817 nephritis, acute parenchyma- tous, 816 gummatous, 817 interstitial, 816 of lachrymal apparatus, 791 of larynx, 799 diagnosis, 800 differential diagnosis of, 801 gummata, circumscribed, 800 gummatous infiltration, diffuse, 800 prognosis, 801 symptoms, 800 liver, 719, 768 amyloid degeneration, 771 precocious, 768 jaundice in, 768 tertiary, 769 diagnosis, 771 prognosis, 771 symptoms of, 770 treatment, 771 of lungs, 801 gummatous ulceration, 801 symptoms, 802 phthisis, 802 diagnosis, 802 treatment, 802 lymphatic system, 710, 814 diagnosis, 814 prognosis, 815 treatment, 712, 815 of mammary gland, 823 gummatous nodules, 823 mastitis, acute irritative, 823 gummatous, 823 diffuse, 823 secondary lesions, 823 menstrual disturbances, 720 of mucous membranes, 716, 759 aphthae in, 762 diagnosis of, 762 eruptions, 716, 718 patches, 759 diagnosis, 762 diphtheroid papule, 760 920 INDEX Syphilis, mucous patches, papular ero- sion, 759 scaly, 761 treatment, 762 vegetating papule, 760 of muscles, 811 bursitis, 812 myositis, acute irritative, 811 chronic interstitial, 811 diagnosis, 811 symptoms, 811 gummatous, 811 prognosis, 812 symptoms, 811 tenosynovitis, 812 acute, 812 chronic, 812 gummatous, 812 of nasal cavities, 796 of nerves, 789 cranial, 790 neuralgia, 789 neuritis, 789 parenchymatous degeneration, 789 sciatica, 789 of nervous system, 719, 774 neuralgia, 715 of nose, 796 gummatous infiltration, 798 nodule, 797 rhinitis, acute, 796 atrophic, 797 hypertrophic, 797 ocular muscle palsies, 795 of oesophagus, 768 onychia, 719, 757 of optic nerve, 794 of ovaries, 822 pain, 715 of palate, 765 of pancreas, 771 paralysis, 720 paronychia in, 757 period of secondary symptoms, 713 of pharynx, 766 cicatricial contraction, 767 post-conceptional, 825 prognosis of, 823 of marriage, 824 of prostate, 821 of rectum, 772 diagnosis and treatment, 773 prognosis, 772 symptoms, 772 of respiratory tract, 796 of retina, 794 choroidoretinitis, 794 roseola of, 723 Syphilis, salivation, 870-882 of sclera, 792 of seminal vesicles, 821 secondary, 713 of skin, 716 Of skull, 776 of spinal cord, 784 etiology of, 784 lesions of, 784 meningitis of, 785 myelosyphiloses, 785 acute, 785 chronic, 785 subacute, 785 paralytic dementia, 788 diagnosis of, 788 symptoms of, 785 tabes dorsalis (locomotor ataxia), 786 Argyll-Robertson pupil, 786 diagnosis, 788 gait in, 786 pain, 787 prognosis, 788 reflexes in, 787 visceral symptoms, 787 of stomach, 768 of spleen, 815 symptoms of, 713 tendinous sheaths, 720 of testicle, 334, 817 cauliflower growth, 819 diagnosis, 820 fungus, 819 parenchymatous, 819 superficial, 820 orchitis, 818 acute, 819 fibrous, 820 gummatous, 819 interstitial, 819 sclerous, 819 prognosis, 821 treatment, 821 of tongue, 762 chancre, 762 diagnosis, 764 gumma circumscribed (gum- matous glossitis), 763 deep, 764 superficial, 764 diagnosis of, from epitheli- oma, 765 infiltration, gummatous diffuse (sclerous glossitis'), 763 mucous patches, 762 scaly patches (syphilitic leuco- plakia), 763 INDEX 921 Syphilis, of tongue, smooth patches (desquamating glossitis), 763 roseola, 762 ulcerations, 763 of tonsils, 767 of ureters, 817 of urethra, 821 of urogenital system, 816 of uterus, 822 of vagina, 822 of vasa deferentia, 821 of veins, 813 phlebitis, 814 visceral involvement, 719 of vulva, 822 " Wassermann body," 714 Syphilis, contagion of, 688 methods of, 688 immediate, 688 mediate, 689 etiology of, 687 immunity against, 687 Colles's, 687 Profeta's, 687 insontium, 692 and marriage, 826 organism of, recognition of, 855 periods of, 690 primary lesion, 691 incubation, 691 secondary incubation, 712 pseudochancre, 688 reaction, complement-fixation, 846 reinfection, 687 treponema pallidum (see Trepo- nema pallidum), 855 types of, 689 hereditary, 825 albuminuria in, 843 alopecia, 833 amorphism, 838 blepharitis, marginal, 834 bones, 838 brain, 841 choroiditis, 835 coryza, 833 dactylitis, 840 deafness, 835 diagnosis of, 843 after infancy, 84 at birth, 843 ear, deafness, 835 otitis media, 835 tinnitus, 835 early prognosis of, 844 ecthyma, 831 epiphyseal malformation, 841 eye, 833 Syphilis, hereditary, eye, blepharitis, marginal, 834 choroiditis, 835 iritis, 793, 835 keratitis, interstitial, 834 optic neuritis, 835 retinitis, 835 face, 839 hemorrhagic, 831 hepatitis, gummatous, 842 interstitial, 842 hydrarthrosis, chronic, 841 hydrocele, 843 impetigo, 830 infection, direct, 825 maternal, 825 infiltration (white pneumonia), 842 intestines, 842 iritis, 793, 835 joints, 840 epiphyseal malformation, 841 hydrarthrosis, chronic, 841 osteophytes, 841 white swelling, 841 keratitis, interstitial, 834 kidneys, albuminuria, 843 late, prognosis of, 845 liver, 842 lungs, 842 gumma, 842 lupus, 833 lymph-nodes, 841 manifestations at birth, 829 following birth, 829 microdontism, 838 mucous membrane, 829, 833 patches, 830 nervous system, 841 neuritis, optic, 835 nose, 839 onychia, 833 osteochondritis, 838 osteoperiostitis, 839 diagnosis, 840 osteophytes, 841 ostitis, rarefying, 839 otitis media, 835 ozsena, 833 pancreas, 842 papular, 830 paraplegia, 841 Parrot's nodes, 839 pemphigus, 831 period of heredity, 825 tertiary, 829, 833 prognosis, 827 individual, 828 mortality statistics, 827 922 INDEX Syphilis, hereditary, pustular, 830 retinitis, 835 rickets, 840 roseola, 830 sclerosis, disseminated, 841 second dentition, 838 skin, 829 skull, 838 of spinal cord, 841 spleen, 842 splenitis interstitial, 842 symptoms, 828 local, 828 syphilides (see SyphiLdes), 829 tabes, 841 teeth, 835 amorphism, 838 erosion, 836 first dentition, 835 Hutchinson's, 837 malformations, 836 microdontism, 838 perversions of growth, 836 retarded evolution, 836 testicles, 843 tibia, sabre-shaped, 839 tinnitus, 835 treatment of, 890 child, 891 dermatitis, 892 mercury, 892 intramuscular injections of, 891 by mouth, 892 neosalvarsan, 891 routine, 891 Wassermann reaction, 891 mother, 891 prophylaxis, 890 vesicular, 830 white pneumonia, 842 swelling, 841 treatment of, 860 abortive, 862 chancre, excision of, 863 with arsenic, Jarisch-Herxheimer reaction, 866 blue mass, 873 constitutional, 863 abortive, 863 hygienic, 864 general hygienic, 863 specific, 865 gastro-intestinal irritation, 872 heat, local application of, 880 symptoms, 885 treatment of, 885 local, 887 of chancre, 887 Syphilis, treatment of, local, condyloma, 889 gumma, 890 mucous patches, 888 periosteal nodes, 890 of syphilides, 887 pustular and pustulo-crusta- ceous, 889 tubercular, 890 by mercury, 867, 870 baths, 878 hot, 879 thermal springs, 878 dose, full, of, 870 elimination of, 880 hydrargyrism, 881 acute, 881 chronic, 881 treatment of, 882 intramuscular hypodermic in- jections, 874 contra-indication, 877 disadvantages of, 875 intravenous after-effects, 866 neosalvarsan, 866 administration of, 868 precautions, 868 by syringe, 869 dosage, 867 preparation of, 869 salvarsan, 866 administration of, 868 precautions, 868 preparation of, 869 iodism, 885 indications for, 875, 877 preparations for, 875, 877 technic of, 875 value of, 877 intravenous injection of, 880 Nixon's method, modi- fied, 880 inunctions, 873, 879 by mouth, 871 protiodide, 871 contra-indications, 870 reaction to, 871 ptyalism, 879 salivation, 870, 882 toxic effects of, 881 vaporization, technic of, 877 opium, 872 prophylactic, 860 avoidance of exposure, 861 legal measures, 8 systematic, 865 with arsenic, 865 exceptions to, 868 iodides, 866, 883 INDEX 923 Syphilis, treatment of, iodides, dose, 884 formulas, 883, 885 indications for, 884 tolerance of, 884 toxic effects of, 884 with mercury, 866 vegetable, 886 Zittmann's, for intractable syphilis, 872, 886 Tabes dorsalis (see Syphilis of Spinal Cord), 786 Table, examining and operating, 28 Tampon, Buckston-Browne, 529 Tarsitis, syphilitic, 791 Teeth, Hutchinson's, 837 syphilis of, 835 Telangiectasis of kidney, 672 cause of blood in urine, 8 Tendinous sheaths, syphilitic involve- ment of, 720 Tenosynovitis, gonorrhoeal, 243 syphilitic, acute, 812 chronic, 812 gummatous, 812 Teratoma of kidney, 669 of testicle, 335, 336 Test, Cabot's injection, for rupture of bladder, 483 complement-fixation, 214 glass, 14 for globulin, Noguchi's butyric acid, 858 Pandy, 858 Ross-Jones, 858 for gonococcus, 184 indigocarmin, 20 Heller's, 18 Kollman's five-glass, 16 Lange's colloidal gold, 858 nonprotein nitrogen, 23 phenolsulphonephthalein, 21 " staining," 16 three-glass, 16 two-glass, 16 tuberculin, 89 Testicle, abscess of, 326 symptoms of, 326 treatment of, 326 anatomy of, 297 anomalies of, 300 anorchism, 300 bilateral, 300 unilateral, 300 treatment of, 301 fusion of, 301 in migration, 302 monorchism, 300 in number, 300 Testicle, anomalies of, polyorchism, 300 in size, 301 synorchism, 301 atrophy of, 301 carcimoma of, ulcerating, 820 contusions of, 312 classification of, 312 epididymo-orchitis, due to, 314 prognosis of, 312 symptoms, of, 312 treatment of, 312 cryptorchidism of, 302 cysts of, 341, 343 diagnosis of, 343 symptoms of, 343 treatment of, 344 enchondroma of, 820 ectopy of, 309 crural, 309 perineal, 309 operation for, 309 encysted, hydrocele of, 341 fungus of, malignant, 328 syphilitic, 328 tuberculous, 328, 821 treatment of, 328 hasmatocele of, encysted, 361 hernia of, 328 hydrocele (see Hydrocele), 344 hypertrophy of, 301 infections of, 316 inversion of, 310 luxation of, 311 traumatic, 311 treatment of, 311 lymphadenoma of, 820 malignant, treatment of, 310 misplaced (cryptorchidism), 302 complications of, 304 hasmatocele, 305 hernia, 304 symptoms of, 305 hydrocele, 305 inflammation, 304 malignant degeneration, 304 symptoms of, 305 orchitis, 305 peritonitis, 305 treatment of, 309 diagnosis of, 305 ectopy, 302 crurofemoral, 302 femoral, 302 peno-pubic, 303 perineal, 302 hernia in, treatment of, 310 inflammation in, treatment of, 309 operation for, Bevan's method, 308 924 INDEX Testicle, misplaced, operation for, Da- vison's method, 308 prognosis of, 305 symptoms of, 304 treatment of, 306 operative, 307 neuralgia of, 362 pain of, 363 treatment of, 363 retention of, abdominal, 302 treatment of, 306 inguinal, 302 treatment of, 307 syphilis of (see Syphilis), 334, 817, 843 torsion of, 311 diagnosis and symptoms of, 311 prognosis of, 312 treatment of, 310, 312 .tuberculosis of, 328 tumors of, 335 adenoma, 335 carcinoma, 336 chondroma, 335 diagnosis of, 338 fibroma, 335 lipoma, 335 myoma, 335 myxoma, 335 sarcoma, 335 teratoma, 335, 336 prognosis of,. 340 traumatic, 339 treatment of, 340 wounds of, 315 incised, 315 lacerated and gunshot, 315 punctured, 315 treatment of, 316 Therapy, bacterin, 86 serum, 86 Thiersch's operation, 153 Tibia, syphilis of, 808 Tinnitus, syphilitic, 835 Tongue, chancre of, 762 syphilis of, 762 Tonsillitis, gummatous, 767 Tonsils, syphilis of, 767 Topical applications and operations, 37 Torsion of testicle, 311 Trauma, cause of haematocele, 361 vesical congestion, 488 retention of urine from, 80 Treponema pallidum, 687, 847, 855 differentiation of, 856 microscooic examination of, 855 Burri's method, 856 dark-ground illumination, 856 stained smears, 856 Treponema pallidum, microscopic ex- amination of Giemsa's method, 856 Tribondeau's modifica- tion, 856 Tribondeau's modification of Fontana's staining method, 856 Trigonum of bladder, 467 Tuberculin, 89 in diagnosis, 89 indications for use of, 89 scarification test, 89 subcutaneous injection of, 89 test for renal tuberculosis, 657 therapy, 89 centra-indications for, 90 various preparations of, 90 von Pirquet, reaction of, 89 Tuberculosis of bladder (see Bladder), 503 diagnosis of, cystoscopic, 49 of kidney, ascending, 652 bilateral, 654 descending, 652 diagnosis, 656 tuberculin test, 657 from general infection, 652 haematuria of, 9 localized, 652 prognosis, 657 pathology of, 652 symptoms, 654 albuminuria, 655 haematuria, 654 urinary, 654 treatment of, 658 tuberculin, 89 of prostate, 395 of seminal vesicles, 378 of suprarenal glands, 683 of testicle, 328 of ureter, 582 tuberculin therapy in, 89 urethra, 182 vesical, tuberculin therapy in, 89 Tumors of bladder (see Bladder), 544 diagnosis of cystoscopic, 50 Grawitzian, 669 intravesical, 408 of kidney, 668 benign, 668 symptoms, 675 classification, 668 cystic (see Kidney, Cysts of), 679 diagnosis, 677 embryonal, 669 hvpernephroma (Grawitzian tumor; nephrogenic meso- thelioma), 669 INDEX 925 Tumors of kidney, embryonal, mixed (Wilms' tumor; embryoma of child- hood), 670 rhabdomyoma, 670 teratoma, 669 malignant, 668 symptoms, 675 pain, 675 palpation of, 675 paranephric, 681 polycystic degeneration, 680 diagnosis and symptoms of, 680 treatment of, 681 prognosis, 679 solid (epithelial), 672 adenoma, 672 carcinoma, 673 cystadenoma, papillary, 674 papilloadenocarcinoma, 674 papilloma, 673 (nonepithelial), 670 angioma, 672 fibroma, 671 lipoma, 671 papillary renal varix, 672 sarcoma, 672 telangiectasis, 672 treatment, 679 paravesical, 559 of penis, 131 of scrotum, 295 fatty, 296 of spermatic cord, 365 of suprarenal glands, 684 benign, 684 Glynn's classification of, 684 malignant, 684 symptoms, 684 treatment, 685 of testicle, 335 of ureter, 582 symptoms of, 583 treatment of, 583 Wilms', 670 Tunica vaginalis, 297 anatomy of, 297 excision of, in hydrocele, 351 haematocele of, 358 hydrocele of, 346 loose bodies in, 362 Typhoid fever, urethritis in, 183 Ulcers, of bladder, parasitic, 49 phagedsenic, 120 serpiginous, 120 tuberculous, 118 Ultzmann's injection, 199 Urachus, 465 cyst of, 559 Urachus, patent, 473 Uraemia, 617 after nephrectomy, 617 Ureter, anatomy of, 560 anomalies of, 563 absence of organ, 563 kinks, 565 valve-formation, 564 operation for, 565 blood-supply of, 561 calculus of, 573 diagnosis of, 576 by palpation, 577 location of, 573 prognosis, 578 symptoms, 574 treatment, 578 uterolithotomy, 580 catheterization of, 51 condition of, in stricture of urethra, 261 cyst of, 583 dilatation of, cystoscopic, 55 examination of, with X-ray, 54 diagnosis of, disease of, 51 fistula of, 581 diagnosis, 581 prognosis, 581 symptoms, 581 treatment, 582 implantation of, 568 Van Hook's method for rup- ture, 568 of vesical, 569 Payne's method for rupture, 569 inflammation of (ureteritis), 571 with pain, 4 lymphatics of, 561 nerves of, 561 normal, cystcscopic appearance of, 51 prolapse of, 583 rupture of, 566 treatment of, 566 stricture of, 572 diagnosis of, 572 in hydronephrosis, 573 prognosis of, 572 symptoms of, 572 treatment of, 572 varieties of, 572 syphilis, 817 tuberculosis, 582 tumors, 582 symptoms of, 583 treatment of, 583 wounds of, 566 extraperitoneal, 567 transverse, 567 926 INDEX Ureter, wounds of, treatment of, 566 Ureteritis, 571 gonorrhceal, 234 Ureteroscopy, 51 Urethra, absence of, 143 • treatment of, 143 anatomy of, 139 anterior, appearance of, in health, 33 pathological changes in, 34 atresia of, 143 cancer of, 173 carbuncles in, 172 chancre of, 702 congenital strictures of, 144 dilitation of, 209 technic, 209 female, stricture of (see Stricture), 287 fistula of, 167 foreign bodies in, 162 diagnosis of, 163 removal of, cystoscopic, 56 symptoms of, 162 treatment of, 164 injuries of, 157 instillations to, 211 malformations of, 143 neoplasms of, 171 obstruction of, 143 treatment of, 143 posterior, appearance of, in health, 36 pathological changes in, 37 rupture of, 158, 189 diagnosis of, 160 perineal section in, 161 sequelae of, 160 symptoms of, 159 treatment of, 160 stricture of (see Stricture), 245 syphilis of, 821 tuberculous lesions of, 182 valvular folds in, 144 wounds of, 157 incised, 157 lacerated and contused, 158 punctured, 158 treatment of, 158 Urethral calculi, 164 diagnosis of, 166 symptoms of, 166 treatment of, 166 chancroid, 181 curve, 263 discharge, affections characterized by, 176 epididymitis, 316 fever (see Urinary Fever), 268 Urethral infection, treatment of, 208 instrumentation, technic of, 262 ointment, depositors, 27 ointments, 211 orifice in the male, cystoscopic ap- pearance of, 47 pouches or diverticula, 144, 171 symptoms of, 171 treatment of, 144, 171 Urethritis, 177 acute posterior, 190, 203 albuminuria in, 190 complications of, 191 constitutional involvement in 190 frequent erections in, 190 terminal hsematuria in, 190 nocturnal emissions, 190 perineal pain in, 190 treatment, 203 argyrol, 204 silver nitrate, 204 anterior, order of diagnosis, 206 anteroposterior, order of diagnosis 208 bacterin treatment in, 88, 213 and serum therapy in, 213 chancroidal, 181 chronic, 204 posterior, 407 treatment, order of, 208 by dilatation, 209 by irrigations, 210 concomitant, 180 diathetic, 179 differential diagnosis, 207 diphtheric, 183 erethismic, 179 eruptive, 179 etiology of, 177 gonorrhceal, 181 acute, prognosis of, 191 herpetic, 179 infective, 180 due to Micrococcus catarrhalis, 180 symptoms of, 180 influenzal, 183 ingestive, 178 instrumentation, 178 irritative, 178 mechanical, 180 oxaluria, cause of, 179 pain in, 177 pathology of, 177 phosphaturia, cause of, 179 pneumococcic, 183 posterior, order of diagnosis, 208 symptomatology of, 177 INDEX 927 Urethritis, syphilitic, 181 diagnosis of, from gonorrhoea, 181 traumatic, 178 treatment of, by heat and cold, 212 by injections, 210 tuberculous, 182 diagnosis of, 182 symptoms of, 182 treatment of, 182 typhoidal, 183 epididymoorchitis in, 183 urine in, 177 in women, 216 acute, 216 diagnosis, 218 symptoms of, 216 treatment, 218 chronic, 217 stricture, 218 treatment, 218 prognosis, 218 Urethrorectal fistula, 167 Urethorrhoea, 176 Urethroscopes, 31 Urethroscopy, 31 anterior, 31 instruments for, 31 technic of examination, 32 posterior, 35 instruments for, 35 'technic of, 35 Urethrotomy, 278 combined internal and external, 284 advantage of, 285 external, 275 perineal, 282 with guide, 283 prognosis of stricture after, 284 internal, 277, 278 from before backward, 280 from behind forward, 280 in children, 282 indications for, 278 technic of operation, 279 in urethral stricture, indications for, 287 Urination, frequency of, 11 causes of, 11 stuttering, 13 urgent and frequent, 189 Urinary fever, 268 acute, 269 prognosis of, 270 chronic, 270 prognosis of, 271 symptoms of, 270 prevention of, 271 with recurrent paroxysms, 269 symptoms of, 269 Urinary fever, treatment of, 271 Urine, blood in, 7 quantity of, 8 color of, in haematuria, 7 cryoscopy of, 22 examination of, 14 glass tests, 14 haematuria, 18 haemoglobinuria, 18 staining test, 16 microscopical, 18 by staining, 19 qualitative, 17 excretion of, normal, 587 extravasation in stricture of urethra (see Stricture), 258 incontinence of, 80 in children, 81 diagnosis of, 82 treatment of, 82 mechanical, 83 medical, 82 epileptic, 81 Guyon's tabulation, 81 due to nerve lesion, 81 with lesions of urinary tract, 85 without lesions of urinary tract, 81 pus in, 10 retention of, 59 acute, effects of, 61 due to blood clots, 65 treatment of, 66 catheterization in, 64 causes of, 59 chronic, effects of, 61 classification of, etiologic, 63 due to congestion, 64 symptoms of, 64 treatment of, 65 effects of, 60 gradual, 59 incomplete, due to prostatic en- largement, 76 treatment of, 77 catheterization, 77 due to incoordination of bladder muscles, 63 cause of, 63 diagnosis of, 63 symptoms of, 63 treatment of, 63 due to inflammation, acute, 64 symptoms of, 64 treatment of, 65 obstructive, 59 paralytic, 59 due to prostatic enlargement, 67 diagnosis of, 69 prophylaxis, 79 928 INDEX Urine, retention, due to prostatic en- largement, symptoms of, 69 treatment of, 70 by aspiration, 75 catheterization, 70 spasmodic, 59 due to stricture, 79 treatment, 80 sudden, 59 from sudden urethral blocking, 65 diagnosis of, 66 symptoms of, 65 treatment of, 66 from traumatism, 80 treatment of, 62 stream of, alterations in, 13 non-obstructive, 58 normal, 13 obstructive, 58 suppression of, 58 treatment of, 58 tubercle bacillus in, 19 in urethritis, 177 Urnings, 463 Urogenital system, syphilis of, 816 Uronephrosis, 660 Uterus, syphilis of, 822 Vaccination chancre, 709 Vagina, syphilis of, 822 Vaginalitis, acute, 344 hemorrhagic, 358 Vaginismus, 450 Vaginitis, 215 gonorrhceal, 223 diagnosis and prognosis, 223 symptoms, 223 treatment, 223 Van Hook's ureteral implantation method, 568 Varicocele, 366 prognosis, 368 spermatic flexus in, 367 symptoms of, 368 treatment of, 368 palliative, 368 radical, 368 ablation of scrotum in, 370 excision, 369 technic of, 369 Varicose veins of bladder, 547 Varix, papillary renal, 672 Vas aberrans of Haller, 343 deferens, 299 anatomy of, 299 syphilis of, 821' Vasectomy, 370, 426 Vasopuncture, 371 Vasostomy, 371, 377 Veins, syphilis of, 813 Venereal warts, 131 Verole nerveuse, 784 Verrucse, 131 Vertebrae, syphilis of, 808 Vesical tuberculosis, 503 Vesicles, seminal, tuberculosis of, 378 Vesiculectomy, 377 Vesiculitis, acute, 375 seminal (spermatocystitis), 375 acute, diagnosis of, 375 prognosis of, 376 symptoms of, 375 treatment of, 377 chronic, 376 diagnosis of, 376 symptoms of, 376 treatment of, 377 by vasostomy, 377 by vesiculectomy, 377 by vesiculotomy, 377 tuberculous, 378 diagnosis of, 379 treatment of, 379 use of tuberculin in, 90 Vesiculotomy, 377 Viraginity, 463 Viscera, syphilitic, involvement of, 719 Von Pirquet reaction, 89 Vulva, inflammation of, 219 syphilis of, 822 Vulvitis, 215, 219 treatment, 219 Vulvovaginitis, bacterin treatment in, 88 catarrhal, 226 gonorrhoeal, 226 cause of, 226 diagnosis, 226 prognosis, 226 symptoms, 226 treatment, 227 Warts, veneral, 131 diagnosis and prognosis of, 133 symptoms of, 132 Wassermann body, 714 reaction in syphilis, 846 alcohol, influence of, on.