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Identifier: urinaryanalysi00heit (find matches)
Title: Urinary analysis and diagnosis by microscopical and chemical examination
Year: 1906 (1900s)
Authors: Heitzmann, Louis, 1864- (from old catalog)
Subjects: Urine Diagnosis
Publisher: New York, W. Wood and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ed. In purely chronic cases red blood-corpuscles are scanty or entirely absent. When acute exacerbations orhemorrhages ensue, they become considerably more numerous. Epithelia are always present in greater or less amount, but their rela-tive numbers are somewhat different from those found in acute cystitis.While in the latter flat epithelia from the upper layers are quite abundant,they are either entirely absent in the chronic cases, or are seen in smallnumbers only; this is one of the differential points of diagnosis. Epi-thelia from the upper layers, when present in large numbers, denote eitheran acute case or an acute exacerbation of a chronic inflammation.Cuboidal epithelia from the middle layers are always found in varyingnumbers, many containing fat-granules or -globules. Columnar epitheliafrom the deepest layer are seen in the severer cases only, and then insmall numbers. Free fat-globules are always present. Mucus-threads and -corpuscles are constant features in chronic ca- MB
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Fig. 119.—Chronic Catarrhal Cystitis (X 500).UA, Ammonium urate; TP, triple phosphates; SP, simple phosphates; PC, pus-corpuscles ; MB, epithelia from the middle layers of the bladder, containing fat-globules;MT, mucus-threads; MC, mucus-corpuscles; BC, bacilli and cocci; FG, free fat-globules. DISEASES OF THE BLADDER. 257 tarrhal cystitis. In cases having a highly alkaline reaction, the urine isropy and a jelly-like, viscid mass is present, sometimes so pronounced asto compose the greater part of the sediment. A urine containing suchmasses always has an ammoniacal odor, and the alkaline salts are ex-tremely numerous. Besides the salts and bacteria, such a jelly-like massconsists of strings of mucus, sometimes filling entire fields of the micro-scope. In many of these cases neither pus-corpuscles nor epithelia can berecognized to any great degree, having become hydropic, pale, and ap-parently changed to mucus-corpuscles. The appearance of a urine con-taining such masses is so charac

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