File:Interstate medical journal (1907) (14576721718).jpg

Identifier: interstatemedica1419unse (find matches)
Title: Interstate medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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rm travels like fire along theepithelial cells. By the way, if this is true is the compressor urethrae, avoluntary muscle shown in Fig. 6, going to prevent the invasion of theposterior urethra ? No! In 80 per cent or 85 per cent of specific urethritisthere is an invasion of the posterior urethra, another factor against thehand syringe that holds only two drams. However, coming back to thesubject proper, the germ may travel as follows: From the meatus, alongthe urethra to one or more of the glands of Littre, Cowpers glands, mem- URETHRITIS AND COMPLICATIONS. 529 branous and prostatic urethra, from thence to the prostatic ducts, termi-nating here; that is in the prostatic urethra, and not going to the bladder,as this organ is not infected by the gonococci, unless the lining membraneis injured mechanically, or by previous inflammation, because the liningmembrane, miscalled a mucous membrane, is in the true sense of theword, a protective, not a secreting membrane. The route then chosen is
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Fig. 6.—Diagrammatic drawing of the whole genito-urinary tract. along the duct of the seminal vesicle, into the vesicle and thence along thevas deferens to the epididymis and testes. We have traced the routes of infection. What does it teach? Ameans of ascertaining conclusively how far infection travels and whereit is located—a factor essential to the application of rational and success-ful treatment. As proof, picture a chronic case of urethral discharge, onethat presents the aggravating morning drop that the gallant Frenchmancalls La Gout Militaire. You have all seen this drop. All heard of it.The question is, Where does it come from and how shall we locate its 530 PETERKIN. source? With your permission I will attempt to demonstrate mymethod of procedure, which I have employed for five years, and thoughsimple it is not found in text-books. In outline it is as follows: The .patient shall retain his urine for at least four hours previous toexamination in order that the secretions

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