File:Urinary analysis and diagnosis by microscopical and chemical examination (1906) (14761838766).jpg

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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ly. Not infrequently, however, all the features of a chronic i;ijflammation are seen, and yet blood-corpuscles are fairly numerous. Th iinvariably denotes a fresh acute outbreak engrafted upon the chroniprocess. Such acute attacks are not rare in cases of long standing, anmay be produced by the slightest cause, such as exposure to cold, d<rangements of digestion, etc. Again, the chronic inflammation may tconfined to one kidney and an acute process affect the second kidney. In Subacute Catarrhal Inflammations some features of both the acutand the chronic form will be found. We have a small or moderate nunber of red blood-corpuscles and a small number of fat-globules, the latt<being rarely seen in groups, but only in a few pus-corpuscles and epitheli;and there may be only one, two, or three in them. The other features n :main the same. When the features as here described are present, it will not be difficuto tell whether an inflammation is acute, subacute, or chronic; but son ii I
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UE os r em _ Fig. 103.—Chronic Catarrhal Pyelonephritis (Chronic Interstitial Nephritis) and Cystitis (X 500).PC, Pus-corpuscles containing fat-globules; CE, epithelia from the convoluted tubulesof the kidney containing fat-globules; SE, epithelium from the straight collecting tubulesof the kidney containing fat-globules; UE, epithelia from the ureter containing fat-globules; PE, epithelia from the pelvis of the kidney; MB, epithelia from the middlelayers of the bladder; FG, free fat-globules; RB, individual red blood-globule. DISEASES OF THE KIDNEY AND PELVIS. 197 cases may at times be seen where neither red blood-corpuscles nor fat-globules can be discovered, and then the diagnosis of a simple catarrhalor interstitial nephritis can alone be made. These cases are usually of amild character. Besides all these features, the appearance of the pus-corpuscles, asnoted in a previous chapter, must be taken into consideration, and mayhelp to clear up the case where the clinical features an

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