Gynaecology for students and practitioners . in bed, cold compressesto the abdomen, and morphine suppositories per rectum, with salinepurgation must be employed. Prolonged rest is the most importantmatter to attend to; it should be continued for two months at least.In the case of a recent attack, the patient should not be allowed towalk until the temperature has been normal for one month. If pus-sacs develop, they should be removed as soon as theinitial febrile attack has subsided ; the uterus should also be taken TUBERCULOSIS OF THE GENERATIVE ORGANS 301 away at the same time, for, if it is l
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Gynaecology for students and practitioners . in bed, cold compressesto the abdomen, and morphine suppositories per rectum, with salinepurgation must be employed. Prolonged rest is the most importantmatter to attend to; it should be continued for two months at least.In the case of a recent attack, the patient should not be allowed towalk until the temperature has been normal for one month. If pus-sacs develop, they should be removed as soon as theinitial febrile attack has subsided ; the uterus should also be taken TUBERCULOSIS OF THE GENERATIVE ORGANS 301 away at the same time, for, if it is left, the cormial stumps are asource of infection. In gonorrhoea, coitus should be prohibited. During the puerperium, prolonged rest is most essential. Thepatient should be kept in bed four or five weeks, even if therehas been no fever, the time of greatest danger for puerperal women, who are the subjects of gonorrhoea, is when they first get out ofbed and move about. TUBERCULOSIS OF THE GENERATIVE ORGANS organism responsible for tuberculosis. General Pathology. The was discovered by Koch in1882. It is a delicate bacillus3/x in length. It can be grownslowly on blood-serum andmore rapidly on certainspecial media. The diagnosis is made byfinding the bacillus in a filmmade from the pus {see Fig.143). After fixation of thepus on a slide or cover-slip, hot carbol-fuchsin is pouredon the film and left for fiveminutes. The cover-shp isthen immersed in 25 per cent, sulphuric acid until the colourdisappears ; it is then washedin tap-water, the film iscounter-stained with Lloeflersmethylene - blue for oneminute, then washed anddried. Tubercle bacilli arestained bright red, the other structures in the film appear blue. The smegma bacillus stains in the same way, but it is more easilydecolorized by alcohol, so that in examining for tubercle of the externalgenitalia it is better to employ a 3 per cent, solution of hydro-chloric acid in absolute alcohol instead of the 25 per cent, mixture ofsulp