File:Urinary analysis and diagnosis by microscopical and chemical examination (1906) (14784499832).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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years, although cases ofundoubted sarcomata have been known to last four or five years. None of the symptoms here given are at all characteristic, and micro-scopical examination of the urine must be relied upon for a positive diag-nosis. Tumors of the bladder may occur at all ages, a case of papillomahaving been diagnosed by the author from the urine of a child of one year. PAPILLOMA. Microscopical Features.—The microscopical features in a case of papil-loma of the bladder are illustrated in Fig. 123. Since hemorrhage is of such common occurrence in these tumors, redblood-corpuscles are usually present in the urinary sediment in largenumbers. These may be irregularly scattered throughout the field, orare found conglomerated in groups, partly yellowish, containing hsemo-globin, but at the time of examination mostly colorless, with the charac-teristic double contours. In cases of active hemorrhages, hsematoblasts,having the appearance of red blood-corpuscles, but only half their size,
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Fig. 122.—Pericystitis, Due to Parametritis (X 500).RB, Red blood-corpuscle: PC, pus-corpuscles; UB, epithelium from the upper layers31 the bladder; MB, epithelia from the middle layers of the bladder, with endogenousaew-formations; UE, epithelia from the ureter, with endogenous new-formations; MU,epithelia from the mucosa uteri; CE, epithelia from the cervix uteri; UV, epithelia fromthe upper layers of the vagina; MV, epithelia from the middle layers of the vagina;MT, mucus-thread; MC, mucus-cast; CT, connective-tissue shred; FG, free fat-globules. it DISEASES OF THE BLADDER. 267 may be abundant, If the latter contain haemoglobin, so that the doublecontour is not seen, care must be exercised not to mistake them for fat-globules, or even conidia; they may be found in large groups as well assingly, between the regular-sized blood-corpuscles. The characteristic features of a papilloma are peculiar connective-tissue shreds, which, as a rule, are abundant. Although variously sizedshreds

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