layers. Their content does not differ from that of other dermoids. They are
lined with skin,' and contain hair, sometimes teeth, oily material, etc. In a
few cases ganglionated nerve cells have been observed in the wall of the cyst.
In most of the recorded cases the growth has been noticed during infancy, and
a considerable proportion have been removed at an early period of life. In
some cases enucleation has been possible, with preservation of the testis. Their
growth has been slow. They have seldom attained a large size. Annoying
symptoms have been absent until puberty. At this time some of them have
become inflamed and infected from injury, and have produced abscesses and
left behind sinuses. The probable diagnosis might be made from the history
of the presence of the tumor since infancy, from its ovoid shape, from the putty-
like consistence of its contents, its opacity to light, together with the absence
of pain and tenderness if the overlying tissues were not inflamed. Aspiration
might remove oily material. A certain diagnosis can only be made by operation.
Benign Cystic Degeneration of the Testis. — Benign cystic degeneration of
the testis has been described by Curling and other authors. Clinically, it can-
not be differentiated from malignant disease. The condition may exist alone
or in combination with adenoma. Such tumors have been observed both in
children and adults. They grow rather rapidly and may attain the size of a
baseball, or larger. They form ovoid or spherical tumors of smooth surface and
tense elastic consistence. If solid adenomatous tissue predominates, they will
be firm tumors. Upon aspiration they furnish a mucoid, sticky, cloudy fluid
containing no spermatozoa. Since the malignant cystic teratomata may exhibit
all these characters, no differential diagnosis is possible without operation.
Sarcoma of tile Testis. — Pure sarcoma of the testis is rare. Though it
may be observed at any period of life, it is more common between the ages of
twenty and fifty, 71 per cent of 114 cases collected by Kober. There was a
history of injury in 43 per cent. Round-celled sarcoma was the most fre-
quent form. Spindle-celled, mixed-celled, alveolar, and cystic types were also
observed. Melanosarcoma, both primary and secondary, has occasionally been
reported. The nodular type, surrounded by a sort of capsule, is the most fre-
TI'.\W>i:s OF THE TESTIS
•!1
quent, the infiltrating form being less common. The tumor may originate in
the testis or epididymis. A- it grows, the testis and epididymis are flattened
out upon the surface of the tumor into a thin layer. For a time the nodule
produces no symptoms, and may remain -mull for a long period and suddenly
take <»n ;i very rapid growth, though it rarely forms a tumor larger than the
adull fist. S ter or later they perforate the tunica albuginea, invade the
Bcrotum, ulcerate, and form ;i fungating mass of vascular sarcomatous tissui —
the BO-called " malignanl fungus " or " fungus hematodes " of the older writers.
They may also grow up-
ward, involving the cord.
When the tunica albuginea
is perforated, hemorrhage
often occurs into the tunica
vaginalis, creating an he-
matocele, resulting in a
sudden increase in the size
of the scrotum. According
to the character of the tis-
sues composing the tumor,
it remains hard or becomes
soft <>r exhibits areas of
fluctuation. Here, as else-
where, the sarcomata exhibit
in their later stages a tend-
ency to various forms of
degeneration, mucous, cys-
tic, etc. ; hematomata and
areas of hemorrhagic infil-
tration are common. In the
formation of metastases they
do not differ from the mixed
tumors. The lumbar glands
are first affected and then
those lying in front of the
aorta as far as the dia-
phragm. These secondary
growths may attain a large size and cause serious symptoms from pressure,
abdominal pain, edema of the extremities, ascites.
Prognosis. — The prognosis of sarcoma of the testis is exceedingly had. It
will depend to some extent upon the type of the original growth and upon the
time of removal. Life is destroyed in the vast majority of cases; though
apparent cure, if the tumor is removed early, may lasl for a number of years.
The sarcomata <d* the testis, like the mixed tumors, are disseminated through
the lymph channels rather than through the blood.
Fig. 243.-
-Sabcoma of thi: Right Testis.
(Author's case.)
742 THE SCROTUM, TESTIS, AND SPEKMATIC CORD
Carcinoma of the Testis. — True cancer of the testis is a disease of
advanced life. The growth originates usually in the posterior portion of the
organ near the hilum. Medullary carcinoma is the ordinary form, though the
firmer types of cancer have been described. Nepveu described a scirrhous can-
cer of the testis. The carcinomata grow more rapidly than the sarcomata and
may attain a considerable size in a few months. At first the ovoid shape of
the testis is preserved ; later, when the tunica albuginea is perforated, the sur-
face of the growth becomes uneven and exhibits firm, knobby elevations. When
the tumor grows rapidly there may be marked pain in the testis. The lumbar
lymph nodes are those first infected. Considerable tumors may be formed,
and pressure upon the blood-vessels and nerves of the abdomen may cause severe
pain and other abdominal symptoms. The glands of the groin do not enlarge
until the disease invades the scrotum. Secondary tumors are also observed in
the liver, the lungs, and elsewhere. Both sarcoma and carcinoma of the testis
are accompanied in their later stages by enlargement of the vessels of the
spermatic cord.
Prognosis. — Carcinoma of the testis is one of the most fatal of all the
varieties of malignant disease. The patients all survive the operation of cas-
tration, but the recurrences which take place in almost every instance are
invariably fatal.
Diagnosis. — It is usually impossible to make more than probable diagnosis
of the character of a tumor of the testicle before its removal. If seen while
still small it will usually be impossible to say whether the growth is malignant
or benign. We may usually exclude epididymitis, orchitis, and tuberculosis by
the history, and by the signs and symptoms present in these several conditions,
as elsewhere described. Syphilis we cannot always exclude, and in doubtful
cases we may put the patient upon vigorous antisyphilitic treatment for a
short time and thus clear up the situation. In general the same rules of diag-
nosis apply here as to tumors in other situations. (See Diagnosis of Tumors.)
The treatment of tumors of the testicle of all kinds is castration, done at the
earliest possible moment. In some cases our diagnosis may be aided by the
aspirating needle and by exploratory incision.
INDKX OF AJJTHOKS
Abbe, L38, 186, 387, 394, 175.
Albabban, 326, 327, 329, 332, 335, 105, 511.
600, 602, 603, 604, 606.
ALB! BT, 210.
Albbecht, 184.
Ali xANDi b, •"» i"'. "> it. 614, (in;.
All I SOU AM, 230.
\l SB1 BO, 176.
Abou, 679.
Ash hi bst, 98, 5 18.
\i i bay, 137, 157.
\m b, 8, ill, lit;. 371.
Aybes, 335.
Babbingeb, 186, 348.
Babtels, 543.
Becheb, 101.
Beboeb, 185, 187, 266, 268, 296, 300.
Bebgmann, 547.
Berkeley, 335.
Bevan, 194.
BlEBHOFF, 335.
Bigi i.ow. 633.
r.ii.n \k/. 515.
BILLROTH, 58.
UlRCH-FIlKsciiKKi.ii, 172, 4M.
Blake, 52, 7:;, 121, L22, 123, L64, 273. 278,
297, H9, 175.
I'.U Ml \I I l.n. 50 l.
I'.i.imkn I ii \K. 553, 554, 558.
BlUMEB, 548.
Boi row, 186, 289.
Bobbm \n n. 60.
Bovzabd, 192.
BOYIS, 112.
BbEWKB, 239, 402. 417. 41!».
Brill, 192.
Bbov v 1'. In. 1. 1 \. 203, 310, 311, 325. 326,
327, 328, 329, 330, 332. 333, 334. 335, 336,
337. 338, 137. 657, 712.
Hi: i \ m B, 50.
Bbyant, 289, 547.
BUDAV. IS J.
Bl i bgeb. 329, 330.
Bi ll, 262, 280.
Bi noe, I 12. I 13.
Bl ssi . 184.
Cabot, 5 is.
Cam midge, 206.
< AMPBl l I . 388.
( AMI'! b, 280.
Cartwell, 7<>.
Caspeb, 322. 335, 594.
Cathelin, 3 17. 348, 349.
( in rw mill. 656.
( 1 1 1 \ viii b, 179, 186, 491.
Cheyne,
Chismore, 586.
Chvostak, 56, 147.
Coats. 5 is.
Cole, 655.
i on v 262, 280, 294.
i 01 i in-. C. F.. 70. 240.
Collins, H. D., 107.
( own. k. 199.
Conker, 5.
CONRATH, 105.
Cooper, 284, 705.
( nl BVOISIEB, 163.
Craig, I 15.
Crameb, 50, 50.
( Kl \ I II Mil B, 611.
( BY, 152.
(i M... 58, 60.
Cunningham, 326, 184, 534, 535, 536, 540,
023. 020. 633, 071. 072. 073. 674, 'â– :
7o:..
Cubtis, 50, 194.
CZEBNY, 58.
Davidson. 510.
in Blais, 190.
1 >i 1 \i [ELD, 193.
Delbj 1. 523, 527.
In PAGE, 493.
743
744
INDEX OF AUTHORS
DeRoubaix, 269.
DlTTEL, 402.
Dixon, 522.
Douglas, 518.
Dowd, 299.
Dowxes, 7, 87.
Dresser, 317.
duchastelet, 527.
Dugut, 495.
Ebstein, 581.
Eccles, 275.
Edebohls, 401, 402, 403.
Edler, 398, 399.
ElSELBERG, 37.
Eliot, 466, 467, 691.
Elliot, 115.
Ellis, 484.
English, 307.
Exke, 586.
Esbach, 317, 559.
Esmarch, 252.
Ewald, 37, 68.
Ewing, 443.
Fagge, 88.
Fehleisen, 526.
Fenger, 171.
Fenwick, 69, 332, 333, 335, 513, 630.
Fere, 280.
Finger, 661.
Finney, 100.
Finsen, 152.
Fischer, 56. 687.
Fitz, 83, 204.
Flugge, 568.
Freeman, 157.
Frerichs, 23.
Fuller, 548, 629.
FlTRBINGER, 612.
Gatti, 484.
Gatzsky, 57.
Gautier. 592.
Gerota, 254, 307.
Gerrish, 703.
Gerstein, 511.
Gerster, 492.
Gersuny, 20.
Gibson, 4, 82, 83,
Glenard, 401.
Goldberg, 592.
Gouley, 533.
Grange, 299.
Graser, 299, 371.
133, 134, 248, 276, 297.
Grasser, 239.
Graupner, 484.
Grawitz, 472, 476, 481, 484, 547.
Grill, 108, 109.
Grunbaum, 442.
Guyon, 314, 333, 347, 405, 435, 523, 532,
553, 568, 569, 570, 604, 621, 661.
Hacker, 58.
Hadra, 499.
Hahn, 111.
Halberstadt, 171.
Halsted, 182.
Hamilton, 547.
Hammond, 159.
Hardy, 518.
Harris, 346, 679.
Harrison, 661.
Harte, 98.
Harting, 581.
Hartley, 2, 8, 151, 164, 187, 249, 280, 288,
387, 388, 640, 734.
Hartmann, 58, 61, 347, 348.
Haufschmidt, 493.
Hayden, 551.
Heaton, 547.
Helferich, 499.
Heller, 86.
Henle, 609, 635.
Hermann, 56.
Herrick, 548.
Hesse, 444.
Hey, 623, 625.
Heyse, 568.
Hildebrand, 484.
Hill, 335, 381.
Himly, 116.
Hirsch, 36.
Hochenegg, 257, 497.
Hodenpyl, 85.
Holl, 306.
Huntington, 33, 34, 35, 71, 72, 73, 119, 313,
350, 355, 368, 369, 382, 384, 527.
Hyrtl, 634.
Illyes, 312.
Israel, 424, 425, 436, 440, 441, 450, 458, 465,
473, 474, 475, 479, 486, 488, 490, 491, 494,
495, 496, 507, 514, 592.
Jacobsen, 547, 712.
Jaksch, 561, 563, 568.
James, 30.
Jaworski, 37.
Joessel, 304, 312, 385, 528.
INDKX OF AUTHORS
71.
is. 23, 13, 15, 10,
71. 7::. 71. 76, 83,
102, 103, LOO, l"7.
L36, 137, 139, 1 10,
162, 164, L66, L67,
181, 185, L86, 1^7.
209, 210, 211, 21 l,
227. 228, 230, 234,
314, 315, 340, 343,
394. :s'.»7. U»l, 410,
128, 430, 4:5:5, 440,
155, 158, 465, 460,
491, 504, 506, .-.K).
550, ;,.-,!. 562, r>77.
014. oi.-,. oio. 620,
(i47>. 047. 650, 655,
078, 083. OS.',, oso.
722. 725, 726, 7:5:?,
Johnson, :5. 0. 7. 8, '.».
17. 50, 52, 58, :><.), 65,
si. 85, 91, 95, 100, KM
1 21;. 128, 129, 131, 135,
111. 142, 151, 156, Hil
los. 169, 170. 17s. 179
l!)(t. 201, 202, 205, 208.
215, 223. 2^1. 225. 220
238, 240, 309, ::nt. 311
371, 372, 387, 388, 393
417. 420. 42:?. 120, 127.
44S. 451, 452, 153, 15 I
407. 475, 47!t. 488, I'm
512. 513, 531, 533, 544,
579, 593, 596, 597, 609
629, 639, 012. 643, Oil.
657, 059. 00:;. 072. 077
0S7. 700. 711, 713, 71",
735. 741.
Jonas. Hi I, 199.
JONl 8, 239, 547.
JULLIEN, 592.
Kadjan, 111.
K All 1. DEN, 493.
K AM MERER. 494.
K.\i F MANN. 043.
KAUSCH, 40.
I\EEFE. 547.
KEEN, 116, 157, 158, 387, 398, 484, 497, 498,
499.
Kkiir. 101. 103. 108. 170. 171. 182.
Kelly. 217, 24:5, 339, 340, 341, 342. 343, 345,
471, 4S4. 503, 510. 538.
KELSCH, 144.
Kiyis. 531, 530. 570. GOO, 603, 604, 638,
654, 050. 736.
KlENER, 144.
Kl.EHK. 117.
Klotz. 421. 656.
KOBER. 740.
KOCHEB, 270, 716, 719.
Koranyi. 317. 318.
KOBTE, 110. 209. 210, 211.
Kbaske, 2:::!. 254.
KBOGIUS, 568.
Kronlein. 58, 284.
Krise. 381.
Ki i'- mm ell. 318, 319, 321.
Ki steb, 374. 386, 388, 398, 399, 599, 604.
Ki/TTNER. 198, 690, 692.
Langenbuch, 159.
Labein, 376.
EiAUENSTEIN, 495.
Lawson, 87.
I.A/.ARI s, 209.
I.i tCHTENSTl BN, 86, 97.
LeNOEHANN, 55.
Leonabd, 166.
Lennandi b, 1 15.
I.i S n HOFF, 401.
1.1 I'l-MANN. 1 15.
I.i wis. :!2li. 335. 339.
Lexer. 116.
Lloyd, 210.
lombboso, 679.
LOOMIS, 239.
LOSSEN, 269.
LOTHBOP, 95.
LUBABSCH, 481, 184.
Lucas, 388.
Lund, 494.
I.i vs. 338, 339, 3 17. 348.
MACCOBMAC, 547.
MACBEADY, 262. 206. 284, 288. 291, 298,
301, 302.
Maloaigne, 271.
Mall. 365.
.Manasse. 479. 481. 482, 484.
Maxkopff. 23.
Manski, 97.
Manson, 686.
mabchand, 601.
M.VRKOE. F. H., 737.
Marxock. 548.
Mabtin, 621.
Maydl, 58.
Mayo, C. H.. 50, 58. 144. 161. 103. 170,
177, 181, 239. 492.
Mayo. \Y. •!.. 43. 50. 58. 01. 111. 101.
103. 105. 170. 171. 177. 17S. 180. 181,
239, 297, 492.
McAbthub, 158.
McBl BNEY, S. US. 120. 121. 1 12. 161,
208, 210, 279. 281, 287. 292. 294. 295.
302. 305, 368, 371. 407. 410. 423, 495,
ii22.
McMUBBICH, 381.
MEHBING, 322.
Merkel. 32. 33. 183. 212. 230. 304. 309,
523. 521. 525. 520. 608, 032. 634, 636,
Meyer. 332. 437. 449.
Mikulicz, 15. 20. 2::. 40. 49. 55,
197. 201, 202.
Miller. 443.
Minowski. 22, 23.
Mitchell. 548.
Morel. 548.
299,
171.
102.
182,
187,
3110.
5 11.
520,
696.
746
INDEX OF AUTHORS
Morin, 180.
Morris, Henry, 27, 304, 306, 346, 366, 368,
370, 374, 396, 406, 464, 493, 495, 497, 498,
499, 501, 548.
Morris, Robert T., 120, 123, 131, 238, 339.
Most, 60.
Moynihan, 36, 37, 42, 50, 58, 61, 163, 204.
Mueller, 205.
Munroe, 145.
Murphy, 58, 160, 395.
Murray, 3, 4, 10, 188, 203, 293, 394, 477,
478.
Musser, 163, 179, 182.
Nannotti, 116.
Nash, 727.
Naunyn, 23.
Neuwerk, 493.
Niebel, 497.
Nitze, 223, 224, 332, 335, 539, 552, 591, 600,
604.
Nothnagel, 82.
Ochsner, 43, 163, 205.
O'Neil, 517.
Ord, 581, 585.
Orth, 416.
Osler, 33, 154, 655.
Otis, 395, 614.
Otis, F. N., 243, G33, 639, 662. 6G3, 676.
Otis, W. K., 325. 320. 331. 332, 335, 532,
540, 541, 590, 657, 674, 675.
Otto, 385.
Pagenstecher, 25.
Park, 199.
Pawlik, 338.
Payr, 210.
Pfahler, 484.
Pinner, 31G.
Pohlman, 365, 366, 369.
Poland, 586.
Pool, 515, 516, 517, 518.
Porter, 202.
POSNER, 561.
Powers, 191.
Pozzi, 122.
Prudden, 193.
Quick, 548.
Rainey, 581.
Ramonede, 280.
Rayer, 405.
Reliquet, 406.
Review, 547.
Rhoads, 145, 146, 148.
Richardson, 610.
Richter, 269.
Riedel, 163.
Ritchie, 494.
Rivington, 547.
Robson, Mayo, 13, 58, 61, 163, 176, 182, 200,
208, 209.
Rocher, 335.
PiOKITANSKY, 83.
Rotter, 239, 254.
Rouis, 146, 147.
Roux, 269.
Rudinger, 526.
Sabotta, 633, 704, 705.
Sachs, 281.
Sands, 663.
Sappey, 632.
Saxtorph, 592.
Scarpa, 209.
Schede, 304, 310 s 371, 415, 422, 481, 491.
Sahlange, 82, 90.
Schlangintweit, 326.
schlesinger, 421.
Schmidt, 475.
Schmieder, 474.
schrader, 157.
schroeder, 206.
SCHUMAN, 548.
Scudder. 475, 726.
Senn, 15, 238.
Simon, 338.
Sklifosowski, 157.
Smith, 679.
Socin, 374, 612. '
Sondern, 68, 132, 133, 422, 440, 441, 442,
445.
sonnenberg, 553.
Sonsino, 516.
Spai.teholz, 308.
Sprengel, 115.
Steward, 547.
Stewart, 222.
Stiles, 154.
Stiller, 495.
Stimson, 246.
Strauss, 09.
Strzyzowski, 558.
Sudeck, 484.
Sugetinow, 547.
Symington, 525.
I.\|)i:.\ OF AUTHORS
747
Tkale, 586.
Ti 1:1:1 i. :{(».
Terbikb, 137, l.">7.
Testut, 527, 830, 703.
Thacheb, 100.
Thiabiab, 170.
Thompson, 121, 532, 586, 608, 800, 621, 834,
662, 860.
Thobndike, 484.
Tin B, 88.
I'ii i \i \\ \s, 155, 470.
TlLTON, 137.
'I < in in, 80.
TB a i TENBOTH, 1 12.
Tin KAKI, 101.
Tbousseau, 56.
Tbzebicky, 687.
Til i ii i:. 137, 138, 440.
TUHOLSKE, 'J7.
TUTTLE, 218.
Ii.i.m \n. 547.
Ultzmann, 332, 335, 336, 522, :>?,?>. 534, 538,
653, 555, 558, 560, 561, 562, 563, 565, 567,
668, 575, 576, 580, 581, 582, 583, 584, 585,
587, 601, 650, 668, 606, 607, 688.
Valentine, 331, 335.
V \m>i SPOEL, 727.
Vaughan, S4.
Velpeau, 621.
\ i km i ii., r.i.",, 7 io.
\ [0 I] BON, 136.
\ in. now. 50, 200, 262, 178.
VQu i.i k, i 10.
W'ai.kik, 17.".. 102, 011.
\V.\i i.\. i
W ILSHAM, •"> 17.
\\ \ki: \s>i . 56, 67.
Wabi SO, III.
\\ \kki:n. 86, 06.
\\ \ 1 1 kiioi si , 5 is.
Watson, .'ins. 326, 534, 535, 536, 540, 610,
023, 626, 627, 633, 671, 672, 073. 674, 675,
704, 705.
Weqni k. 5 17.
Weib, •"> 17. 663.
Welch, 50.
Winn:. 621.
WlGGIN, 86.
Wilms, 136, 704.
Winckel, 302.
wolfleb, 5s.
Wood, 55S.
WOOLSEY, 212. 213, 304. 300, 527, 528, 635,
636, 703, 704, 705, 700.
W'yss. 200.
ZEMANN, 109.
ZlEMSSEN, 23.
Zondek, 312.
IKDKX OF SUBJECTS
Abdomen, diminution in aize of, 9.
diseases of, diagnosis of, 1.
methods of examination in, 1.
l>\ auscultation, 11.
by inspection, L.
h\ palpation, 1".
by percussion, L3.
by X-rays, 17.
dilated Btomach in, 4.
enlargements of kidney in, 8.
free fluid in, 13.
localized exudation in, it.
localized rigidity and tenderness in, 12.
peristaltic waves in, 5.
succussion in, 15.
vaginal or rectal palpation in, 11.
localized swellings of, 4.
Illinois of. consistence of, 20.
diagnosis of, 17.
local si^ns and symptoms of, 19.
mobility of, 21.
passive, 24.
percussion over. 21.
shape of, 20.
size of, 20.
surface of, 20.
Abdominal hydrocele, 71S.
Abdominal wall, tumors of, mobility of, 27.
Abnormalities in descent of testis, 7<)t>.
Abscess, amebic, diagnosis of, 146.
of kidney. 414, 4:5:5.
of liver, 1 1 1.
Following dysentery, diagnosis of, 14G.
of pancreas, 203.
of spleen, 189.
of stomach, 55.
perinephritis 4f>i'>, 458.
pathological anatomy of, 159.
symptoms, course of disease, diagnosis of,
460.
psoas, 290.
tropical liver, diagnosis of, 1 16.
dilatation of blood-vessels in, Ms.
jaundice in, 14S.
100
Abscess tropical liver. Leucocytosie in, 148.
pain in. 1 17.
signs and symptoms in detail of, I HJ, 148.
spleen in. 1 is.
temperature and pulse-rate in, 148.
urine in. 1 Is.
Abscesses, ischiorectal, 2:53.
Abscesses situated above levator ani muscle,
234.
Absence of one kidney. 367.
Absorption tesl for raw and ulcerated sur-
faces in bladder, 564.
Accidental wounds of bladder during surgi-
cal operations, 549.
Acquired obstruction causing hydronephro-
sis, 406.
Acquired phimosis, G80.
Actinomycosis of intestine, 107.
differential diagnosis of. 109.
stages of, 108.
Acute and chronic inflammation of rectum,
226.
Acute eowperitis, symptoms of, GG0.
Acute cystitis. 572.
Acute dilatation of stomach, 38.
> i o n s and symptoms of, 38.
Acute gonorrhea, G47.
diagnosis of, 648.
method of infection in. G47.
period of incubation of. 647.
symptoms of. (147.
Acute gonorrheal prostatitis, til.").
Acute hemorrhagic pancreatitis. 200.
Acute hydrocele. 714.
diagnosis of. 715.
of spermatic cord, 71">.
Acute inflammation of tunica vaginalis tea-
tis, 714.
diagnosis of. 71">.
Acute inflammatory processes of scrotum.
711.
Acute intestinal obstruction, si.
differential diagnosis of. 90.
-_\ mptoms and diagnosis of, B9.
71'.'
750
IXDEX OF SUBJECTS
Acute obstruction of pylorus and duodenum,
37.
Acute pancreatitis, symptoms of, 202.
Acute prostatitis, 614.
pathological lesions of, 615.
symptoms and diagnosis of, 615.
Acute pyogenic infection of penis, 685.
Acute sero-fibrinous periorchitis, 714.
diagnosis of, 715.
Acute specific urethritis, 647.
Acute suppurative gastritis, 55.
Adeno-fibroma of prostate, 621.
causation of, 621.
diagnosis of, 628.
lesions of, 621.
occurrence of, 621.
symptoms of, 624.
Adenoma of bladder, 603.
symptoms of, 607.
Adenoma of kidney, 477.
Adrenal bodies, surgical diseases of, 499.
Adrenals, 312.
tumors of, 499.
Albumin in primary renal tuberculosis, 440.
Albuminuria, true and false, 421.
Amebic abscess, diagnosis of, 146.
Ammoniaeal decomposition in vesical cal-
culus, 588.
Ammoniaeal fermentation in urine, 566.
Ammonium urate crystals in urine. 560.
Anatomical notes of pyloric stenosis, 33.
Anatomical relations of pancreas, 195.
Anatomical remarks on femoral hernia, 286.
on kidneys (adapted from Merkel, Wool-
sey, Schede, Joessel), 304.
on prostate, 608.
on scrotum, spermatic cord, testis, 702.
on seminal vesicles and semen, 694.
on spleen, 183.
Anatomical sites and mechanism of duodenal
obstruction, 38.
Anatomy of appendix, 118.
of bladder, topographical, 520.
of cystitis, pathological, 568.
of epididymis, 708.
of scrotum, 702.
of spermatic cord, 709.
of testis, 704.
of urethra. 632.
Anemia in primary renal tuberculosis, 447.
Aneurisms of renal artery, 497.
bruit in, 498.
diagnosis of, 498.
general symptoms of, 498.
hematuria in, 498.
Aneurisms of renal artery, pain in, 498.
pulsation in, 498.
signs and symptoms of, separately consid-
ered, 498.
tumor formation in, 498.
urine in, 498.
Angioma of scrotum, 713.
Angiosarcoma of kidney, 479.
Animal inoculation in primary renal tuber-
culosis, 443.
Anterior urethritis, chronic, 653.
Anuria, calculous, in renal calculus, 469.
Anus, 216.
chancroid of, 228.
congenital abnormalities and defects of,
219.
methods of examining, 217.
by inspection, 217.
painful fissure of, 231.
prolapse of, 247.
diagnosis of, 248.
secondary syphilitic manifestations of, 229.
stricture of, 239.
syphilitic lesions of, 229.
tuberculosis of, 230.
tumors of, 249.
malignant, 250.
Apoplexy, pancreatic, 200.
Appendicitis, catarrhal, 123.
causes of, 119.
chronic, 131.
diagnostic value of blood count in, 131.
differential diagnosis of, 134.
gangrenous, 129.
occurrence of, 122.
perforative, 127.
suppurative, 124.
symptoms and diagnosis of, 122.
Appendicular colic, 122.
Appendix, anatomy of, 118.
Arrest of development of kidney, 366.
Arrest of migration, usually unilateral,
369.
Arterial supply of testis, 708.
Artery, aneurisms of, diagnosis of, 498.
renal, aneurisms of, 497.
bruit in, 498.
general symptoms of, 498.
hematuria in, 498.
pain in, 498.
pulsation in, 498.
signs and symptoms of, separately
considered, 498.
tumor formation in, 498.
urine in, 498.
IXDKX OF SUBJE( I s
.1
Ascending infections of kidney, diagnosis of,
124.
tuberculous, 438.
pathology of, 138.
Ascites, U2.
Aspermatism, »i!'7.
pei manenl , <i'.i7.
tempoi ary, 897.
Atheromatous cysts of penis, G88.
Atresia of rectum, 220.
Atrophied bladders, .">7<».
Bacteria of cystitis, 567.
Bacteria other than tubercle bacilli, 444.
Bacteriology of primary renal tuberculosis,
Ml.
animal inoculation in, 143.
cull ure mel hods in, 1 13, 1 1 1.
differential Btaining in, 442.
Balanitis, 683.
diagnosis of, C84.
Bymptoms of, 683.
l.alanoposthitis, 683.
Benign cystic degeneration of testis. 740.
Benign fungus of testis, 733.
Bilateral infection of kidney, 418.
Bilharz' disease, 515.
blood in, 517.
modes of infection of, 516.
occurrence of, 516.
pathology of, 516.
symptoms and diagnosis of, 518.
Bilharzia hematobia, case "I". 518.
Biliary calculi, cases of, 166.
Keln's diagnostic char! of. 172.
Biliary passages, diseases of, 159.
general remarks on, 159.
jaundice in. 161.
inflammations of. causation of, 162.
injuries of. 143.
tumors of. 179.
Bilocular bladder, 542.
Bilocular hydrocele, 718.
Bladder, absorption test for raw and ulcer-
ated surfaces in. 564.
accidental wounds during surgical opera-
tions of, 549.
bilocular, 542.
capacity of. .127.
changes a- nsult of prostatic hypertrophy
in. 624.
concentric hypertrophy of, 569.
congenital defects of, 541.
congenital diverticulum of. 542.
cystitis from foreign bodies in, 552.
Bladder, cystoscopic examination of,
double, '-i-'.
eccentric h\ perl rophy ol
examination of, w itfa sean hei •■> sound,
588.
exstrophy of, 541.
extrapei itoneal i upture of, 544,
foreign bodies in.
diagnosis "i. 552.
piece of L-.i uze, 550.
position taken by, 552.
safety-pin, 551.
subjective symptoms of, 552.
fracl mi- ol pelvis with rupture of,
frequence of urination in stone in
functional disturbances due t" nei
causes of, 573.
gunshot wounds of. 549.
diagnosis of, 549.
hematuria in stone in, 588.
hypertrophy of, 569.
inflammation of, bacteria of, -~. « j 7 .
croupous. 569.
etiology of, 566.
interstitial, ~>w!).
membranous, 569.
pathological anatomy of. ."â– -
symptoms and diagnosis of. 571.