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117 ASH CROFT—SYPHILIS. capable of affecting the entire organism, and often in a disastrous manner; we see that few if any of the tissues or organs are exempt from its ravages, and we are forced to the conclusion that it is a disease which invites our earnest attention and most careful consideration prognosis. The general prognosis in syphilis is good, both as regards the removal of existing lesions and the ultimate comfort of the patient, in cases that are seen early in the course of the disease, and are subjected to judicious treatment. On the other hand, cases that have been neglected or badly treated in the beginning are more difficult to manage, and more apt to present frequent relapses Besides these are a number of other circumstances that modify the course, and consequently the prognosis. Among them may be mentioned the general health of the patient, his habits as regards temperance in eating and drinking, and his ability to procure proper and sufficient nourishment, medical attendance, etc. His occupation, if one necessitating much exposure, may likewise influence the result. In addition it must be remembered that some cases are natuaally light, and that others on the contrary are particularly severe. These various elements therefore must be borne in mind whenever we consider the prognosis of syphilis, with respect to a particular case or as regards the disease in general. The various lesions, too, have each their separate and individual prognosis. The chancre is rarely more than a temporary inconvenience, occasionally, however, it becomes complicated with phagedenic action ; and more or less sloughing may seriously impair the beauty and symmetry of the affected organs, ulceration about the soft and hard palates may permanently impair the voice and be accompanied with even more serious inconvenience. Necrosis of the bone may confine the patient to bed, and interfere for a greater or less time with his usual occupations. Affections of the eye, if not promptly treated, may seriously impair vision, and disease of the nervous centers may produce permanent disability or speedy death. treatment. Treatment of syphilis must be considered under three heads: First, the hygienic, second, the specific, and third, the local. Hygienic Treatment.—The very first points to which the physician should devote his consideration are the condition of the patients general health, his habits, and his surrounding. If his health is good, his habits correct, and his circumstances comfortable, it is only necessary that these conditions be preserved. If, however, he is suffering from some previous disease, this should be relieved or its effects obviated if possible. If he is intemperate reformation must be brought about before treatment can be successful. Good health, good food, good air, suitable clothing, freedom from undue exposure to the elements, regular exercise, and methodical habits constitute more than half of the treat-
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1894 |
Identifier | NCHH-16-041 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 41 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-041.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-041 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 117 |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1894 |
Identifier | NCHH-16-041-0125 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactionsofme41medi_0125.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 41 |
Page Number | 117 |
Health Discipline | Medicine |
Full Text | 117 ASH CROFT—SYPHILIS. capable of affecting the entire organism, and often in a disastrous manner; we see that few if any of the tissues or organs are exempt from its ravages, and we are forced to the conclusion that it is a disease which invites our earnest attention and most careful consideration prognosis. The general prognosis in syphilis is good, both as regards the removal of existing lesions and the ultimate comfort of the patient, in cases that are seen early in the course of the disease, and are subjected to judicious treatment. On the other hand, cases that have been neglected or badly treated in the beginning are more difficult to manage, and more apt to present frequent relapses Besides these are a number of other circumstances that modify the course, and consequently the prognosis. Among them may be mentioned the general health of the patient, his habits as regards temperance in eating and drinking, and his ability to procure proper and sufficient nourishment, medical attendance, etc. His occupation, if one necessitating much exposure, may likewise influence the result. In addition it must be remembered that some cases are natuaally light, and that others on the contrary are particularly severe. These various elements therefore must be borne in mind whenever we consider the prognosis of syphilis, with respect to a particular case or as regards the disease in general. The various lesions, too, have each their separate and individual prognosis. The chancre is rarely more than a temporary inconvenience, occasionally, however, it becomes complicated with phagedenic action ; and more or less sloughing may seriously impair the beauty and symmetry of the affected organs, ulceration about the soft and hard palates may permanently impair the voice and be accompanied with even more serious inconvenience. Necrosis of the bone may confine the patient to bed, and interfere for a greater or less time with his usual occupations. Affections of the eye, if not promptly treated, may seriously impair vision, and disease of the nervous centers may produce permanent disability or speedy death. treatment. Treatment of syphilis must be considered under three heads: First, the hygienic, second, the specific, and third, the local. Hygienic Treatment.—The very first points to which the physician should devote his consideration are the condition of the patients general health, his habits, and his surrounding. If his health is good, his habits correct, and his circumstances comfortable, it is only necessary that these conditions be preserved. If, however, he is suffering from some previous disease, this should be relieved or its effects obviated if possible. If he is intemperate reformation must be brought about before treatment can be successful. Good health, good food, good air, suitable clothing, freedom from undue exposure to the elements, regular exercise, and methodical habits constitute more than half of the treat- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-041.pdf |
Document Sort | all; group-d; nchh-16 |
Article Title | Syphilis |
Article Author | J. E. Ashcroft |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-041 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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