554 



Tuberculosis. 



sionally microscopic examination will reveal the presence of 

 pus corpuscles and red blood cells when its general appearance 

 would not cause us to suspect them. 



Tuberculosis of the liver and spleen can be recognized as 

 such only in cases where considerable enlargement of the organs 

 has taken place. There may be dullness upon percussion in 

 the overlying region or their posterior irregular nodular bor- 

 ders may* l)e palpated behind the costal arch. 



Among the sexual organs tuberculosis of the testicle may 

 ])e recognized l)y the presence at its superior and posterior 

 border, "corresponding to the position of the epididymis, of 

 a firm painless swelling. The testicle itself does not become 

 enlarged until at a considerably later date and then, becoming- 



Fig. 85. Superticialli/mph (jla7ids of the ox. Kg. Submaxillary gland : O ])ar()tii 

 gland; oW superior, »iff middle, w/f inferior Cervical glands ; ii Presca])ular gland 

 Kf Precrural glands ; IF Inguinal glands. 



confluent with the epididynds, the two organs constitute one 

 tumor. Usually there is simultaneous hydrocele. In a few 

 cases tistulae perforate the skin above the epididymis and dis- 

 charge yellowish pus. In tuberculosis of the penis, which is 

 very rare, we find firm nodules at the end of the organ and 

 occasionally induration of the edges of the prepuce (Eber, 

 Trotter). In tuberculosis of the uterus a turbid, mucous or 

 muco-purulent, yellowish, or rather ichorous and ill smelling 

 vaginal discharge is a constant symptom. Occasionally this 

 discharge contains cheesy fragments and, in exceptional cases 

 streaks of blood. Rectal examination may, in some cases reveal 

 the presence of enlarged sacral hmiph glands or the horns 



