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Removal of the hair-pin was effected by first inserting within the meatus a Gruber speculum, encircling the unbroken projecting prong, and then raising the end of the broken one with a long-shanked aural hook, when the hair-pin was readily withdrawn. The wound of the canal-floor promptly healed.
In the mean time, the mucous membrane that lines the 'meatus auditorias' subsists, the secretion of the wax continues; it accumulates and acquires an irritating quality; the irritation which it causes produces an augmentation of the secretion, and soon the whole of the subcutaneous passage becomes filled, and seems to assume the form of a cord; and it finishes by the dog continuing to worry himself, shaking his head, and becoming subject to fits.
A chancre within the orifice of the urethra is rare, and, being concealed from view, it can only be recognised by the discharge from the meatus and by the induration felt between the finger and thumb on palpating the urethra.
Cancer of Bone resulting from Direct Extension from Soft Parts. In this group there are also two clinical types. The first is met with in relation to epithelioma of a mucous surface for example, the palate, tongue, gums, antrum, frontal sinus, auditory meatus, or middle ear. They will be described under these special regions.
Then we say the clitoris is hooded and it is necessary to loosen or cut this fold of skin. The operation is similar to that of circumcision in the male. Just back of the clitoris, within the folds of the labia, is situated the meatus urinarius, or opening leading to the bladder.
Some of his observations with regard to genito-urinary surgery are quite as interesting. He even treated congenital anomalies. He suggests cutting of the meatus when narrowed, dilatation of strictures with lead sounds, and even suggests plans of operations to improve the condition in hypospadias.
Thus the horse pricks up its ears when it hears a noise, the better to judge of the direction of sounds. The external auditory meatus, the passage to the middle ear, is curved and is about an inch and a quarter long. Near its outer portion are a number of fine hairs slanting outwards to prevent the entrance of insects.
Alley mentions a New Orleans wharf laborer, in whose ear was poured some molten lead; seventeen months afterward the lead was still occupying the external auditory meatus. It is quite remarkable that the lead should have remained such a length of time without causing meningeal inflammation. There was deafness and palsy of that side of the face.
Sabatier speaks of an abscess of the brain caused by a ball of paper in the ear; and it is quite common for persons in the habit of using a tampon of cotton in the meatus to mistake the deep entrance of this substance for functional derangement, and many cases of temporary deafness are simply due to forgetfulness of the cause.
When the chancre is within the meatus, iodoform bougies are inserted into the urethra, and the urine should be rendered bland by drinking large quantities of fluid. General treatment is considered on p. 149. #Secondary Syphilis.# The following description of secondary syphilis is based on the average course of the disease in untreated cases.
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