Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
al seat ofchancres is the mucous membrane around the vaginal orifice;that of follicular inflammation the skin of the labia. Infolliculitis, different follicles will be seen in different stagesof inflammation—some papules, some pustules, some littlepitted ulcers made by scratching; soft chancres will be allin about the same stage. If a hard chancre, or condylomata,be suspected to co-exist, the bullet bubo in the groin willbe felt. The treatment of this form of follicular vulvitismust be on the same lines as that of eczema of thevulva. 2. The other form of follicular vulvitis, of which I haveseen one case, consists in deep red spots, of about the sizeof a pins head, scattered on the vestibule and inner surface INFLAMMATIONS AND ULCERATIONS OF VULVA. 481 of the nymphse. According to Robert,* these are inflamedmucous glands, and out of them a tiny droplet of pus can besqueezed (Fig. 148). He regards them as a result of gonorrhoea.In the only case I have seen gonorrhoea was probable, but
Text Appearing After Image:
Fig. 148.—Follicular vulvitis affecting mucous membrane.Burgess of a patient of the authors.) (From a drawing by not certain. The condition got well, but I am unable to assignthe recovery to any form of treatment. Treat such a case bypuffing a sedative, antiseptic, or astringent powder, such as der-matol, iodoform, zinc oxide, or creolin, on to the affected part;together with the treatment proper for gonorrhoea, if present.Chancres.—The Hunterian or indurated chancre.—This chancre is not inoculable on the same individual.Hence, when lateral, it is on one side only. When onthe labium, it often causes oedema: hence oedema ol onelabium only should suggest chancre. The common seat ofchancre is at the vaginal orifice, for this is the part atwhich a breach of surface is apt to occur in sexual inter-course. When so situated, it is difficult to pick up thetissues around and feel induration. Hence it has been saidthat chancres in women are not indurated; it should havebeen said that the

Note About Images