File:An atlas of clinical microscopy (1885) (14595970180).jpg

Identifier: atlasofclinicalm00peye (find matches)
Title: An atlas of clinical microscopy
Year: 1885 (1880s)
Authors: Peyer, Alexander Girard, Alfred Conrad, 1841-1914, ed. and tr
Subjects: Medical microscopy Microscopy
Publisher: New York : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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e of hypertrophy of the prostate or stricture of the urethra,in conjunction with long-continued catarrh, dilatation and ectasiaof the bladder have been formed. The sediment of this catarrhal urine remains in these pocketsoften for a considerable time, and undergoes further fermentation,in which the urine, which freshly arrives from the kidneys, does notparticipate at once. We find, then, the extraordinary appearancethat, with an acid urine, shreds are voided which, under the micro-scope, resemble the picture of Plate 49—^blood, pus, epithelium,coffin-shaped crystals, imbedded and held in a mucous mass, or elsethe patients void spontaneously an acid, tolerably clear urine, whileon introduction of the catheter we remove a quantity of more tur-bid urine with neutral reaction, and at last a remainder of a muco-purulent mass with alkaline reaction. On being allowed to remainin situ for some time, the catheter brings forth again acid urinewhich is freshly secreted by the kidneys. PLATE 49
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Chronic catarrh (acid reaction of urineEciasy of bladder with alkaline contents . Peyers microscopy. PLATE 50.VESICAL H^MOKRHAGE. 96 CLINICAL MICROSCOPY. VESICAL H^MOEKHAGES Are found only in ulcerations, cancer, concretions, foreign bodies,and varices of the bladder, or else in case of acute inflammation ofthe same, or with entozoa (Distoma hcBinatobium). Yery voluminous coagula are at times produced by vesicalhaemorrhage—so much so that they have to be broken up beforethey are able to pass, and frequently cause strangury. Such coagula may lead to the formation of vesical calculi. Thedifferential diagnosis between vesical and renal hsemorrhage is es-tablished by the discovery of vesical catarrh and its cause; for thecauses of vesical hcemorrhage, such as cancer, foreign bodies, etc.,cause also vesical catarrh. The diagnosis is confirmed if we canexclude the simultaneous existence of renal disease. Haemorrhage from the urethra is easily recognized by the factthat the blood flows in

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