File:Interstate medical journal (1907) (14760179221).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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
sence of shreds in tube No. 2 denotes posterior urethritis, asthe fluid that first passes will cleanse this portion of the tract. The amount of inflammatory material in tube No. 3 denotes the severity. The pres-ence of inflammatory material in No. 4, whether the bladder or prostateis involved. When a very warm solution is used it will cause tenesmus,which frequently results in the expulsion of the prostatic secretion andsome of the secretion of the seminal vesicles. The patient is again irri-gated, this time posteriorly, with a normal salt solution about 600 cc, 60cc. of which are voided in the ignition tube, which we shall call tubeNo. 5. This denotes how free from discharge the whole urethra is fromthe meatus to the bladder, and acts as a means of comparison with thefollowing: With the solution in the bladder the patient is placed on his back, theseminal vesicles and prostate outlined and stripped, and then a slidespecimen is made of some of the secretion expressed at the meatus. If
Text Appearing After Image:
Fig. 7.âGlass ignition tube (12inches by 1 inch.) Fig. 8.âCast of normal maleurethra. URETHRITIS AND COMPLICATIONS. 531 the prostate only has been massaged, examination of this secretion willdemonstrate this by the presence of Betchers crystals, etc. If the secretionin the seminal vesicles has also been expressed, it is demonstrated by thepresence of spermatozoa. The patient now voids the contents of thebladder, which is the remaining portion of the normal salt solution, intoa glass urinal. We will then see what has been squeezed from the pros-tate and seminal vesicles and be able to judge from the megascopic ap-pearance the extent and character of their involvment in the inflammatoryprocess, by comparing with tube No. 5. Could an examination be moreclear, simple, or decisive? Yet its real value cannot be shown here, forthere is no time to give the clinical and microscopic significance of suchsecretion. But you will say that by this procedure only two factors have beenascertainedâ

Note About Images