File:Interstate medical journal (1907) (14760999874).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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the amount it contains will not mechanically cleanse. Fig. 2 is a section of Fig. I greatly magnified to show more clearlythe histology. Here you see the layer of cylindrical epithelium surround- URETHRITIS AND COMPLICATIONS. 527 ed by blood vessels and sections of the urethral glands that are racemoseglands. (See Fig. 7, E.) In Fig. 3 we have a section of the urethra showing sub-epithelialcellular infiltration in its earliest stage, composed of round cells and pos-sibly a few proliferated connective tissue cells, the treatment for which,if they do not resolve in the normal course of events, is pressure. Fig. 4 shows a later result of such infiltration where treatment (pres-sure), has been inefficiently applied, or not at all. So the pathologicalprocess has progressed to the stage of connective tissue formation; inother words, a true stricture. Fig. 5 shows a section of the roof of the urethra with round cellinfiltration that also exists in the tubular ducts of the follicles. This is
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Fig. 4.—Showing a section through a firm modular stricture, the connective tissue be-ing so dense as to resemble cicatricial tissue. A true stricture, the later result of infiltration. presented to show inflammation and proliferation of the epithelium of oneof the urethral follicles with the round cell infiltration about its walls.Can anything but pressure, applied vertically, evacuate the contents ofsuch a follicle and cause absorption of the infiltrating cells? A soundthat just brushes past the opening of the duct will not accomplish this,but a dilator will. Before elucidating the application of these drawings to the subject inhand let us proceed to view a diagrammatic drawing (Fig. 6) of the wholegenito-urinary tract, exhibiting two routes to the urethra; route one, fromthe kidney, through the ureter into the bladder, the opening of the ureterbeing represented by the white spot A; the bladder, by the dark circulararea which runs into the urethra. Route two, from the testes, throu

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