SYPHILIS IN FEMALES.
The principal features of syphilis in women consist of ulcers, excoriations, warts, and buboes. Women, of course, are alike liable to all the forms of secondary symptoms. Chancres usually appear within and on the labiæ. In the drawing here given, the labiæ are drawn aside to expose the ulceration; and they are also found within the vagina and surrounding the mouth or protuberance of the womb. It is in these cases that the speculum is had recourse to; and in the Parisian hospitals every case is subject to such a mode of investigation.
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The following three illustrations show what a degree of severity ulceration and other changes put on. The first exhibits superficial excoriation extending rapidly, and occasionally a swollen appearance of the os uteri; the second shows extensive chancrous ulceration; and the last of a tuberculous character, like little hardened tumors. But for the speculum, these conditions might have gone on to worse, and led to irremediable mischief: their treatment, independently of local means, such as injections, &c., would have been prolonged to an almost indefinite time. The use of styptics is demanded in female as well as male syphilitic developments, and accordingly the employment of nitrate of silver, copper, &c., is advised, as already explained.
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