554 



Tuberculosis. 



sioiially 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 

 be recognized by 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 



Fi.t,'. 83. Snijer/iciul liimpli f/lands of the ox . Kg. Submaxillary gland ; O jiarotiil 

 f,'1;ui I ; o// superior, lu// iiiiddlp, «// inferior Cervical frlands; B Prcseapular glund ; 

 7./ J'recrural glands; II' Inguinal glands; B Supramaniinary gland. 



confluent with the epididymis, the two organs constitute one 

 tumor. Usually there is simultaneous hydrocele. In a few 

 cases fistulae perforate the skin above the epidid^anis 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 iTterus a turbid, nmcous or 

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

 vaginal discharge is a constant symptom. Occasionally this 

 discharge contains cheesy fra,gments and, in exceptional cases 

 streaks of l)]ood. Rectal examination may, in some cases reveal 

 the presence of enlarged sacral lymph glands or the. horns 



