A Method Of Securing
A Method Of Securing Urine From The Ureters Without Catheterization. I Desire Now To Speak Briefly Of A Novel Development Of My Method Of Examining The Bladder And Exposing The Ureteral Orifices, That Is, The Securing Of Urine Direct From The Ureter, Without Passing Over The Surface Of The Bladder ...
Abdominal Nephrectomy
Abdominal Nephrectomy. Abdominal Nephrectomy Has Been Practised With Success, But The Lumbar Method Is The More Generally Accepted Operation. The Former Is Now Probably Limited To Some Exceptional Cases Of Floating Kidney, Where There Are Grounds For Believing From The Movements Of The Organ That There Is A Very Complete ...
Abortive Treatment To Urethritis
Abortive Treatment To Urethritis. The Abortive Method Of Treatment Has Been Generally Understood To Imply The Substitution Of A Simple For A Specific Inflammation. This Practice Is A Relic Of Bygone Days, Which Has Impelled Surgeons Of Excellent Reputation—and Undoubted Wisdom In Other Directions— To Rub The Pure Crayon Of ...
Accidental Albuminuria
Accidental Albuminuria. It Has Long Been Accepted That The Mere Presence Of Albumin In The Urine In Small Quantities Does Not Necessarily Indicate The Presence Of Organic Disease Of The Kidneys. When Traces Of Albumin Are Present And No Organic Disease Of The Kidney Can Be Discovered, The Symptom Is ...
Acute Cystitis Of Obstruction
Acute Cystitis Of Obstruction. The Acute Cystitis Of Obstruction Is A Serious Form Of The Disorder Which Is Also Seen In Connection With Stricture Of The Urethra: And Prostatic Enlargement. These Cases Generally Present Themselves To Our Notice In The Following Way : We Are Called To See A Patient ...
Acute Prostatitis
Acute Prostatitis. Acute Prostatitis Is One Of The Most Serious And Painful Of The Acute Affections To Which The Genitourinary System Is Subject. The Condition Which Most Often Gives Rise To It Is So Prevalent That The Disease Is Quite Frequently Met With. Acute Prostatitis With Associ Ated Urinary Retention ...
Albuminuria Urine
Albuminuria - Urine. Since The Time Of Richard Bright The Presence Of Albumin In The Urine Has Been Regarded As A Proof Of Kidney Disease Both By Physi Cians And By The Laity. And In Spite Of All Evidence To The Contrary This Is Still The Popular Belief. It Is ...
Albuminuria Without Disease Of
Albuminuria Without Disease Of The Kidney. The Examination Of The Urine By The Physicians Of Life Insurance Companies, And By Other Physicians Who Examined This Excretion In The Case Of School Children, Of Soldiers, And Of Other Groups Of Persons, Has Brought Out The Fact That Albumin Is Present In ...
Anomalies Of Development Of
Anomalies Of Development Of The Prostate. Congenital Anomalies Of The Prostate Are Rare, At Least From A Clini Cal Standpoint. It Is Probable That They Are More Frequent Than Is Generally Supposed, But From The Fact That They Are Not Likely Per Se To Prove Of Pathological Importance, They Are ...
Base Of The Bladder
Base Of The Bladder - Examination Of The Patient For The Source Of Hematuria Or Haematuria. Any Hardening Or Thickening In The Bladder Base Can Be De Tected By Gentle Examination With The Finger. I Consider It Very Necessary To Insist Upon The Caution That All Digital Examination Must Be ...
Benign Vesical Growths So
Benign Vesical Growths So Situated As To Obstruct The Urethral Orifice Of The Bladder. Villous Papillomatous Growths Of The Bladder, Which Either Fall Upon The Urethral Orifice Or Grow Around That Outlet, Differ From Other Benign Growths Of The Bladder By Provoking Symptoms Of Vesical Irritability And Obstruction To The ...
Calculus Of The Kidney
Calculus Of The Kidney. The Hemorrhage From A Renal Calculus Does Not Possess Any Marked Characteristic Beyond The Fact That It Is Affected By Sudden Movement And Severe Exercise. That Which Is Evoked By A Calculus Imbedded In The Parenchyma Of The Gland May Have Occurred Once Only In The ...
Carcinoma
Carcinoma. Carcinoma.—the Epithelial Lining Of The Bladder Is Composed Of A Single Surface-layer Of Large-sized Squamous Cells, With Underly Ing Pear-shaped And Round-cell Layers. It Is Also Provided With Small Racemose Mucous Glands, Most Numerous Near The Neck Of The Blad Der. It Will Be Seen That We May Thus ...
Case
Case. —a Boy Aged 12 Years Was Admitted Into The Liverpool Children's Hospital On Dec. 7th, 1882, Having The Day Previously Fallen Out Of A Window A Distance Of Eight Feet. On Admission He Was Suffering From Pain In The Side And There Was Blood In The Urine. The Heematuria ...
Case
Case. —g. W., Aged 5, Was Admitted Into The London Temperance Hospital On November 5th, 1889, In A Collapsed State, Having Been Run Over By A Cart, The Wheel Passing Over The Abdomen And Pelvis. There Was Fracture Of The Left Lower Ribs And Of The Right Os Innomi Natum ...
Case A
Case.-a Dock Laborer, Aged 42, Was In The Summer Of 1865 Ad Mitted Into The Liverpool Northern Hospital Under My Care, For An Injury To His Back, Caused By Falling Down The Hold Of A Steamship On To The Edge Of A Case Of Goods. The Patient Was Much Collapsed, ...
Case A_2
Case.-a Male Patient, Aged 66, Whom I Saw Toward The End Of 1892, Had Been Suffering From Vesical Hemorrhage For Many Months Previously. The Bleeding, Retention Of Urine And Clots, And The Pain From Tension Had Become So Constant And Unmanageable As To Indicate The Necessity For Adopting Other Means, ...
Case Il
Case Il —i Saw A Man In 1887, Aged 50, Who Two Years Previously Suffered From Some Obscure Abdominal Symptoms In The Region Of The Bladder, Attended With Acute Pain, Since Which He Had Noticed Fecu Lent Matter In The Urine And The Discharge Of Air At The Close Of ...
Case W 0
Case.-w. 0., Aged 38, A Militiaman, Was Admitted Into The Liver Pool Infirmary On May 22d, 1877, When I Was Attached To That Insti Tution. His Statement Was To The Effect That On The Previous Night, When Under The Influence Of Liquor, A Pencil-case Had Been Introduced Up His Urethra ...
Case_2
Case. —a Middle-aged Man Applied At St. Peter's Hospital In 1892, Stating That He Had Put A Piece Of Grass Up His Urethra A Week Previously, And Believed It Was Now Lodged In His Bladder. I Passed A Sound, But Feeling Nothing, Endeavored To Withdraw The Foreign Body Through A ...
Case_3
Case. —a Gentleman About 60, Of A Gouty Habit, Consulted Me. I Detected A Moderate-sized Uric Acid Calculus Lying Behind His Large Prostate, Which I Removed By Crushing. When Collected The Frag Ments Were Entirely Composed Of Urates With No Phosphates. After Some Months, His Large Prostate Began To Trouble ...
Cases Of Hematuria
Cases Of Hematuria Typical Cases Of Renal Calculus Showing How Much The Hematuria And Symptoms Depend Upon The Proximity Of The Stone To The Mucous Membrane : A Case Of Renal Stone Imbedded In The Cortex Of The Kidney Under The Capsule And Hence Situated At A Distance From The ...
Causation Of Cystinuria
Causation Of Cystinuria. The Causation Of Cystinuria Is Still Conjectural. From The Fact That Cystine Contains Sulphur And That It Is Very Similar In Its Com Position To Taurin (roberts), It Has Been Considered That The Symptom Is A Sign Of Hepatic Derangement, And Prout, Remarking "the Peculiar Tallowy And ...
Causation Of Phosphaturia
Causation Of Phosphaturia Our Knowledge Of The Causes For The Increased Production Of Phos Phate Is Scanty. Nor Is It Certain Whether The Train Of Symptoms Ascribed To The Loss Is Due To The Lime Or To The Phosphatic Constitu Ents Of The Bone Earth. The Following Clinical Clues Are, ...
Characters Of The Urine
Characters Of The Urine In Chyluria. Macroscopy.—the Milky Appearance Of The Urine Is Due To The Es Cape Into It Of The Contents Of The Lacteals And Intestinal Absorbents Through Some Accidental Communication. Unless Some Renal Degen Eration Is Also Present, The Urine Is Normal Except That It Contains A ...
Chronic Brights Disease
Chronic Bright's Disease. —the Occasional Brightness Of The Blood In Acute Bright's Disease Is Of Course Well Recognized, But I Do Not Think That The Profession At Large Has Yet Realized That A Very Abundant And Intermittent, Often Brightish Hemorrhage May Occur In Chronic Contracting Granular Kidney. This Occasional Brightness ...
Chronic Brights Disease_2
Chronic Bright's Disease. The Hematuria Of Granular Kidney Is, I Believe, Best Treated By Absolute Rest In Bed, And A Strict Diet Of Milk. If The Hemorrhage Is Not Excessive, And The Patient Is Able To Get About, Turkish Baths (without Massage And The Cold Douche) May Be Taken With ...
Chronic Brights Disease_3
Chronic Bright's Disease. Contracting Granular Kidney May Exist For A Considerable Time And May Even Be "in A Serious Degree Of Development" Before The Patient Is Aware That There Is Anything Amiss With Him. For Years The Appetite And Digestion May Remain Unimpaired, And Health And Strength May Seem Perfect. ...
Chronic Diffuse
Chronic Diffuse Prostatitis.—as Has Already Been Asserted, The Parenchymatous Form Of The Disease Is Apt To Be Associated With A Greater Or Less Degree Of Diffuse Inflammation. The Severity Of The Symptoms Is In Direct Proportion To The Degree Of Diffuse Inflamma Tion Present In Cases In Which The Two ...
Chronic Follicular Or Parenchymatous
Chronic Follicular Or Parenchymatous Prostatitis. —the Nomen Clature Of This Variety Is Based Upon The Same Proposition Which Was Laid Down In The Consideration Of Acute Follicular Prostatitis, Namely, That The Secreting Glandular Structures Of The Prostate And Their Ducts Constitute The Essential Anatomical Elements Of The Organ And Should ...
Circumstances Under Which Oxalate
Circumstances Under Which Oxalate Of Lime Is Deposited. The Development Of This Salt Appears To Depend More Upon The Lime Present In The Urine Than Upon The Oxalic Acid. " Given An Excess Of Lime In The Urine, Oxalic Acid, Come It From Whence It May, Is Seldom Wanting. If ...
Clinical Aspects
Clinical Aspects. But Little Can Be Said Upon The Clinical Aspects Of Cystinuria. The Substance Has Been Known To Have Been Passed Intermittently In The Urine For Years Without Visible Impairment Of The Bodily Functions, But Usually There Are Marked Signs Of Deterioration Of The General Health, And The Nutrition ...
Clinical Features And Symptoms
Clinical Features And Symptoms Of Phosphaturia. These Vary Greatly, Depending Probably Upon The Grade Of The Loss And The Length Of Time During Which It Has Existed. Most Writers Have A Sharply Stamped Clinical Picture Of The Type Of Patient Who Is Thus Suffering. Thus Dickinson Says : "i Have ...
Complicating Lesions Chronicproductive
Complicating Lesions - Chronic Productive Nephritis Without Heart.—hypertrophy Of The Left Ventricle Of The Heart Is Fre Quently Caused By Exudative Nephritis, But Much More Frequently By Chronic Nephritis Without Exudation. It Must Be Admitted, How Ever, That Such Au Hypertrophy, Although Frequent, Is Not Constant, And That With Both ...
Condition Of Recurrence Of
Condition Of Recurrence Of Stone After Condition Of Recurrence.—there Are At Least Three Forms Or States Under Which Recurrence Takes Place : (1) As Connected With An Imper Fect Removal, Where Portions Of, Or Even Whole Stones Are Left Behind; (2) The Persistence Of Conditions Favorable To The Production Of ...
Congenital Anomalies
Congenital Anomalies. Fissure Of The Anterior Wall.—the Most Frequently Observed Con Genital Anomaly Of The Bladder Is A Fissure In The Anterior Wall. This Is Produced By Defective Union Of The Right And Left Halves Of The Body In Early Embryonic Life, And Varies In Degree All The Way From ...
Congenital Stricture
Congenital Stricture. The Congenital Form Of Stricture Is Rare, If We Exclude Narrowing Of The Meatus. The Existence Of Congenital Stricture Beyond A Point One-fourth Of An Inch From The Meatus Is Denied By The Majority Of Surgical Authorities. If, However, We Take Into Consideration The Occasional Occurrence Of Congenital ...
Congenital And Acquired Malformations
Congenital And Acquired Malformations Of The Ureters. As The Integrity Of The Kidneys Is To A Large Extent Dependent On The Condition Of The Ducts By Which The Urine Is Conveyed To The Bladder, It Will Be Proper To Consider Other Sources Of Interruption In Addition To The Stoppages That ...
Constituents Normal And Adventitious
Constituents Normal And Adventitious - The Urine. Most Important Of The Solid Constituents Of The Urine Is Urea, Of Which A Healthy Adult Excretes Every Day About 500 Grains. While The Specific Gravity Of The Urine Gives A General Idea Of The Rela Tive Quantity Of Urea, Yet There Are ...
Course Of The Disease
Course Of The Disease - Chronic Productive Nephritis With There Is Hardly Any Limit To The Variations Of The Disease, But The Most Constant Symptoms Are Anxmia, Dropsy, And Albumin In The Urine. The Following Are Some Of The Ordinary Examples Of This Form Of Nephritis: 1. There Are Cases ...
Course Of The Disease
Course Of The Disease - Chronic Productive Nephritis Without It Is Characteristic Of The Chronic Productive Inflammations Of The Lungs, The Heart, The Arteries, The Liver, And The Kidneys That, While They Often Exist As Serious And Fatal Diseases, They May Also Exist As Lesions And Yet Do Not Interfere ...
Critical Examination Of The
Critical Examination Of The Symptoms Of Blood In The Urine. In The Larger Proportion Of Cases The Appearance Of Blood In The Urine Is Heralded By Symptoms Of Pain Or Uneasiness In The Kidneys, Ureters, Bladder, Prostate, Or Urethra, Or By Functional Disturbances Of The Bladder Such As Obstruction To ...
Cystic Renal Disease
Cystic Renal Disease. It Has Been Remarked In Discussing The Symptomless Hmnaturias That Some Cases Of Chronic Renal Disease Bleed Smartly And Pain Lessly. There Is No Doubt, However, That Occasionally Hemorrhage From This Source Is Accompanied By Pain; And In Some Of These I Have Found Definite Cystic Conditions ...
Cystitis
Cystitis. True Acute Cystitis Is A Rare Complication Of Urethritis. The Epithelium Of The Vesical Mucous Membrane Is Singularly Resistant To Gonorrhoeal Infection. When It Does Become Infected, It Is By Virtue Of The Mixed Infection Characteristic Of Gonorrhoea,. The Majority Of Cases In Which Acute Gonorrhoeal Cystitis Is Diagnosed ...
Cystitis In Women
Cystitis In Women. It Is -impossible At Present To Estimate The Frequency With Which Cystitis Occurs In Women. Severer Grades Of Cystitis Are Not Infre Quently Met With, And Milder Degrees Of The Affection Seem To Become More Frequent As Cases Are Examined By The New Cystoscopic Method. All Grades ...
Cystitis Of Obstruction 2
Cystitis Of Obstruction. 2. Cystitis Of Obstruction.—passing To The Cystitis Of Obstruction, We Shall Find That This Presents Itself To Our Notice As Chronic And Sub-acute. The Chronic Form Is Usually Seen In Cases Of Enlarged Prostate And In Some Of The Commoner Varieties Of Organic Urethral Stricture. The Cystitis ...
Definition Chronic Productiveor
Definition - Chronic Productive Or Diffuse Nephritis With A Chronic Inflammation Of The Kidney Attended With A Growth Of New Connective Tissue In The Stroma, Permanent Changes In The Glom Eruli, Degeneration Of The Renal Epithelium, Exudation From The Blood Vessels, And Sometimes Changes In The Walls Of The Arteries. ...
Deformities And Malpositions Of
Deformities And Malpositions Of The Kidney. The Kidneys Are Liable To Various Kinds Of Congenital Alterations In Shape And Position With Which The Practitioner Who Undertakes Their Operative Treatment Should Be Acquainted. Probably The Commonest Variation In Shape Is Where The Two Kid Neys Are Connected Together By A Band ...
Diabetes Insipidus
Diabetes Insipidus. Probably Diabetes Insipidus Is Purely An Extra-renal Disease, And Clue More To Some Train Of Nervous Disturbances Than To Any Direct Renal Irritation. Sir W. Roberts, Who Collected 120 Examples, Found That Out Of 42 Cases, Cerebral Diseases Or Blows On The Head Were Credited In 19 As ...
Diagnosis Acute Prostatitis
Diagnosis - Acute Prostatitis. Although The Main Diagnostic Points In Acute Prostatitis Are Out Lined In The Foregoing Symptomatology, A Diagnostic Resume And Con Sideration Of Certain Special Points In The Differential Diagnosis Would Seem Necessary. The Patient, Generally The Subject Of Acute Or Chronic Urethritis, Complains For Several Days ...
Diagnosis Spasmodic Stricture
Diagnosis - Spasmodic Stricture. The Diagnosis Of Spasmodic Stricture Is Usually Comparatively Simple, Particularly In Those Cases In Which Retention Comes On Slid Denly. It Is Obvious That The Sudden Occurrence Of Retention In A Case Of Organic Stricture, Or Other Obstructive Lesion Of The Genitourinary Tract, In Which The ...
Diagnosis Of Organic Stricture
Diagnosis Of Organic Stricture. The Diagnosis Of Organic Stricture Can Only Be Made By Instru Mental Exploration Of The Canal. An Essential Requisite Is A Moder Ately Capacious Meatus. It Is Impossible To Explore A Canal Of Say A Calibre Of 40 French Through A Meatus With A Calibre Of ...
Diagnosis Of The Hypertrophied
Diagnosis Of The Hypertrophied Prostate. The Most Accurate Information Regarding The Condition Of The Prostate Body Is To Be Obtained By Rectal Exploration With The Finger. The Bowels Should Be Evacuated By Means Of An Enema, And If The Patient Is Very Sensitive A Small Quantity Of Morphine Or Cocaine ...
Diagnosis Of The Source
Diagnosis Of The Source And Cause Of Urinary Hemorrhage. The Objective Signs And Subjective Symptoms Furnished By Each Patient Permit Of Certain Guidance Rules Being Framed For The Deter Mination Of The Source Aid Cause Of The Bleeding. These, Though By No Means Infallible, May Be Accepted As Reliable. They ...
Diagnostic Significance Of Hematuria
Diagnostic Significance Of Hematuria Following Slight Indirect Violence. The Hmmaturia Of Injury Does Not Require Notice. The Injury Is Direct, The History Of The Blow Is Generally Obtainable, And The Locality Is Usually Obvious, But Careful Examination Should Elicit From The Patient Facts Concerning The Influence Of Slight Indirect Violence ...
Diagnostic Significance Of The
Diagnostic Significance Of The Symptoms Accompanying Pyuria. In Mild Simple Or Gouty Pyelitis Or Cystitis, Especially When This Occurs In The Female, There May Be No Symptoms Present To Indicate The Source Of The Pus. This Is Exceptional, For Pyuria Is Usually Accompanied By Symptoms Of Functional Distress In The ...
Diseases Of The Female
Diseases Of The Female Bladder And Urethra. Up To The Present Time Diseases Of The Urethra, Bladder, And Ure Ters In Women Have Been The Most Neglected Field In The Whole Range Of Scientific Medicine. From The Earliest Times Urinary Affections In The Male, Although The Organs Are More Inaccessible ...
Diseases Of The Kidneys
Diseases Of The Kidneys. The Kidneys Are Deeply Seated In The Lumbar Region, Lying One On Each Side Of The Vertebral Column, Behind The Peritoneum. They Measure About 4 Inches In Length, 2i- Inches In Breadth, And 11 Inch Or More In Thickness. The Left Is Usually Longer And Narrower ...
Diseases Of The Male
Diseases Of The Male Urethra. It Is Hardly Necessary In A Work Of This Kind To Enter Into An Elaborate Description Of The Anatomy And Physiology Of The Male Urethra. There Are A Few Points, However, Which Are Of Practical Interest In The Clinical And Pathological Study Of Its Diseases. ...
Diseases Of The Prostate
Diseases Of The Prostate. An Exhaustive Anatomical Description Of The Prostate Would Not Be In Keeping With The Character Of This Work, But It Is Almost Impos Sible To Give A Practical Outline Of The Various Diseases Affecting This Organ Without A Preliminary Discussion Of Some Of The Main Points ...
Displacement Of The Urethra
Displacement Of The Urethra. There Are In General Four Forms Of Displacement Of The Urethra : (1) Displacement Upward; (2) Moderate Downward Displacement. (3) Complete Displacement Of The Whole Urethra Downward; (4) Pro Lapse Of The Mucous Membrane Of The Urethra At The External Orifice. Upward Displacement Is Seen In ...
Displacements Of The Bladder
Displacements Of The Bladder. Displacements Of The Bladder May Be Conveniently Considered Under Four Headings : (1) Displacement Upward; (2) Descensus Or Partial Displacement Downward; (3) Extreme Displacement Down Ward Of A Portion Of The Bladder; (4) Ectopia, Or Eversion. None Of The Displacements Above Referred To, Except The Last, ...
Drainage Of The Bladder
Drainage Of The Bladder. Drainage Of The Bladder.—following Upon The Consideration Of In Flammation And Suppuration Within The Bladder, It Will Be Convenient To Consider Certain Methods Of Drainage Which Are Advantageously Adopted In Connection With The More Chronic Forms Of These Disorders. There Are Some Bladders So Shaped As ...
And Ureteral Examinations Asepsis
Asepsis In Urethral Vesical, And Ureteral Examinations. Examples Of General Septic Infection Starting In The Lower Urinary Tract And Travelling Up, Infecting Bladder, Ureter, Renal Pelvis, And Kidney, And From Thence The System At Large, Are Sufficiently Abun Dant In Medical Literature To Require No Demonstration Here To Prove The ...