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May 14, 1904


Author Affiliations

First Lieutenant and Assistant Surgeon, U. S. Army. MANILA, P. I.

JAMA. 1904;XLII(20):1289. doi:10.1001/jama.1904.92490650023003a

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>History.  —G. I., a Filipino male, aged 25 years, gave the following history: Eight years ago, while urinating, he was taken with a sudden, severe lancinating pain in the penis and along the entire course of the urethra. From that time he states that he was never free from pain, which was exaggerated by urination and at times an acute exacerbation would occur which would confine him to his bed. His urine was tinged with blood, and he passed it only twice in the twenty-four hours on account of the severe pain which it caused. One of these acute attacks occurred Dec. 2, 1903.

Examination.  —December 5, I was called to see the patient by Contract-Surgeon Jones. The temperature was 102 F., pulse 110. The scrotum was greatly enlarged, dark and congested, the skin tense and shiny, with two small areas on the

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