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This young man has suffered from acute gonorrhea for six days. It is his first attack. The period of inoculation was three days. There is an abundant discharge and intense pain on micturition. The prepuce and scrotum are greatly swollen.A second man presents analogous symptoms and history. Four days after exposure he was attacked by sharp, stinging pain upon passing urine. A discharge, thin at first but which rapidly became thick and copious, soon developed. The disease has now been fully established for five days. There is some tenderness in both testicles and he has been troubled by chordee.There need seldom be any difficulty in the diagnosis of gonorrhea. The muco-purulent discharge excited by the presence of a urethral chancre is sometimes sufficiently abundant to simulate gonorrhea. A chancre in that situation, however, can be readily recognized by the induration which it produces. The purulent flow
SHOEMAKER JV. GONORRHEA.. JAMA. 1898;XXX(10):524-526. doi:10.1001/jama.1898.72440620012001b