File:Urinary analysis and diagnosis by microscopical and chemical examination (1906) (14784457702).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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injuries of the cervix uteri. In mechanical injuries,such as are caused by masturbation, vaginal epithelia from all threelayers are found, together with a large number of epidermal scales fromthe labia, usually containing fat-globules, epithelia from the Bartholiniangland, a few pus-corpuscles, possibly a few red blood-corpuscles, and asmall or moderate number of connective-tissue shreds. When the num-ber of vaginal epithelia is not large, and connective-tissue shreds appearwith numerous irregular epithelia from the cervix, with only a few pus-corpuscles, injuries around the cervix are indicated. Although of com- MUCUS AND CONNECTIVE TISSUE. 129 paratively small practical importance, it must be known that connective-tissue shreds in the urine of females may be due to such causes. 5. Tumors.—In all tumors which can be diagnosed from the urine,such as papilloma, sarcoma, and cancer, connective-tissue shreds are themost important diagnostic features, without which the presence of a tu-
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Fig. 64.—Connective-tissue Shreds Found in Tumors (X 500). mor cannot be positively diagnosed. Besides these, other evidences of atumor are frequently found, though the connective-tissue shreds them-selves may be characteristic enough for a diagnosis. In papilloma such shreds are always large, very irregular, frequentlybranched, and often assume the shape of coils or knobs (see Fig. 64).9 130 URINARY ANALYSIS AND DIAGNOSIS. They are coarsely granular and may contain a number of inflammatorycorpuscles. In rare cases blood-vessels in process of formation or fullydeveloped may also be found in them. Besides these large masses, theregular connective-tissue shreds are also present in varying amount. Anumber of irregular, coarsely granular epithelia, the covering epithelia ofthe papilloma, will usually be seen in such cases, though they are notfound in situ and are not of much value for a diagnosis. In cancer of the bladder, especially villous or papillary, the connec-tive-tissue shreds a

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