File:American practitioner and news (1911) (14594090050).jpg

Identifier: americannews45loui (find matches)
Title: American practitioner and news
Year: 1911 (1910s)
Authors:
Subjects: Medicine
Publisher: Louisville, Ky. : American Practitioner and News Pub. Co
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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ion and induration. This tumor waspresent seven years ago at the birth of the second child, Drstrother 1 eing in attendance. Three years ago she began to complain of bladdertrouble, and for a period of several weeks she passed thecharacteristic granular, unctuous material of a dermoid to- •Read before the Warren County, Medical Society 9U The American Practitioner and News. gether with five or six pieces of bone and a few hairs. Aftera few months she was apparently well, but about eighteenmonths ago she began to complain again of the bladder sym-toms, frequent and painful urination, incontinence or dribblingof urine at times, and gradually developed an offensiveleucorrhoa. One month ago, after several weeks of medicinal treatment,Dr. Whited examined her and found protruding from themeatus a calculus. An effort at the removal of this stone witha hemostat fractured the edge of it, but on the following dayshe passed it with very little pain; Fig. 1, A; it weighedtwo and a half drachms.
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Fig. 1. A. Stone first projecting from meatus, and passed by patientThe remainder of fragments shown are of large single stone removed fromurethra by crushing and scoop. Laminated structure of both stones is clear-ly seen. I found a patient who was very nervous and irritable, weakand exhausted, had lost twenty pounds in weight, had theso-called septic appearance, and had been taking one-fourthof a grain of morphia twice a day for several weeks on account of the pain. On examination another stone was found protruding fromthe meatus, which was so dilated that the index finger couldbe introduced into the urethra without pain. There was pour-ing from the meatus a large quantity of foul, offensive dis-charge with the extremely disagreeable urinous odor, theso-called leucorrhea. On introducing the finger into the Blackburn: Calculi in the Female Urethra 195 vagina I Cound that bhe stone was about two and a half inchesin length, one and a half inches in width, one inch thick. Under chlorofor

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