GONORRHCEA. QQ 



Wright (Brit. Med. Jour., p. 355, 1898), to which the 

 reader is referred for fuller details. 



It is advisable to use a dilution of one in ten if the 

 macroscopic method is used. 



GONORRHCEA. 



Nothing is more certain than the fact that gonorrhoea 

 can only be diagnosed by bacteriological methods ; and 

 every practitioner is very strongly urged to practise 

 himself in these methods and to employ them in all 

 cases. Leaving out of account the confidence which 

 the certainty of a correct diagnosis inspires, there is 

 always the possibility that legal questions may arise, 

 and a practitioner who made a diagnosis of gonorrhoea 

 without employing the only means by which that dis- 

 ease can be diagnosed would make a poor show in 

 cross-examination. Lastly, a bacteriological examina- 

 tion will often tell us that the disease is merely lying 

 latent and is still infective when apparently cured. 



The gonococcus chiefly affects mucous surfaces ; the 

 urethra in the male, the urethra and cervix uteri in the 

 female, and the conjunctiva in both sexes. These are 

 the regions in which the primary lesion usually occurs, 

 and it may extend by continuity to more distant parts. 



In the male it may involve the prostate, the vesiculae 

 seminales, and the bladder. It is doubtful whether 

 gonorrhceal epididymitis is due to this organism or to 

 another. 



In the female the inflammation of the urethra may 

 extend to the bladder. The inflammation of the cervix 

 may extend to the mucosa of the uterus and thence to 



H2 



