File:Manual of pathology - including bacteriology, the technic of postmortems, and methods of pathologic research (1905) (14783161245).jpg

Identifier: manualofpatholog00coplrich (find matches)
Title: Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research
Year: 1905 (1900s)
Authors: Coplin, William Michael Late, 1864-1928
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Publisher: Philadelphia : P. Blakiston's Son & Co.
Contributing Library: University of California Libraries
Digitizing Sponsor: MSN

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of calcium oxalate the calculus is hard, sometimes spiculated, and thesurface formed of small bosses (mulberry calctdus). The phosphaticcalculi are composed of triple phosphates and usually contain urate ofammonium and calcium carbonate. Occasionallv the stone consists ofcalcium carbonate alone. Cystin, xanthin, and cholesterin calculi arerare; a few cases of indigo calculus have been reported. Vesical lithiasisis commonly attended by cystitis, which in some cases is marked.Hematuria is frequently present. Tuberculosis of the bladder may be a part of a wide-spread genito-urinary lesion involving the kidney, ureter, bladder, prostate, seminalvesicles, spermatic duct, epididymis, and testicle. The infection mayoccur from the blood, by lymphatic extension, or from contiguouslesion in the prostate or seminal vesicles, or other adjacent tissues.In general miliary tuberculosis, tubercles may be observed in the sub-mucosa of the bladder; they are rarely conspicuous or abundant. The Pl.ATH X.
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E F E TUBERCULOSIS OF THE BLADDER Drawing made from fresh specimen One-half natural size Drawn bv Miss E. G. Harding LABORATORIES OF THE JEFFERSON MEDICAL COLLEGE HOSPITAL A.—Centre of large ulcer. At the end of the line is a distinct furrow, to which was attached a recent slough.B.—Similar ulcer, but more recent. C—More recent ulcer almost ready to become cotiflueiit with the large ulcer.D.D.D.-Miliary tubercles. These at first glance resembled ulcers, but close inspectionshowed that they had not as yet broken down. Many of these are «t»-en. par-ticularly at the Viase of the bladder.E.E.E.E.—The point from which was excised the trigone prostate and urethra. F.F.F.—Points showing the patchy inflammation of the mucosa, which accomprtim - m • iculosis of the bladder. DISliASES OK Tin- l-klNAUY ORGANS. 67 I most tro(iiK.m nuinifestation of vesical tuberculosis is the ulcerativeform, which is rarely, if ever, primary. The ulcers may be solitaryor multiple; commonly there is

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