File:Urinary analysis and diagnosis by microscopical and chemical examination (1906) (14784822135).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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the urine, it may cause either severe^ ha3maturia or the condition known as chyluria, or more frequently both. 164 URINARY ANALYSIS AND DIAGNOSIS. It is claimed that it may be present in perfectly clear urine, but this mustbe very rare, since, as a rule, the urine presents a milky appearance whenvoided, and upon examination is found to contain a large amount of fat,in the form of small globules and granules, as well as the evidence of amore or less pronounced hemorrhage. Pus-corpuscles, as well as differentepithelia, are usually present in small numbers. When such a milky urine, denoting chyluria, is examined, filaria mustalways be looked for, since the parasite is almost invariably the cause ofthis condition. It may be present in large numbers in the urine, so thatthere will be no difficulty in finding it; but, on the other hand, it may bescanty. In examining for filaria, it is advisable to take the first urinevoided in the morning, since it is a well-known fact that the parasite is
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Fig. 87.—Ova and Portion of Ascaris Lumbricoides (X 500). active at night, or rather during the resting hours of the patient, and canthen be found in large numbers in the blood, while it is quiescent duringthe working hours and cannot be found. Ascaris Lumbricoides (see Fig. 87).—Although in rare instances only,the round worm, ascaris lumbricoides, of such common occurrence in theintestinal tract of children, may be found in the urine, having passed intothe bladder through the urethra. Portions of the parasite and a numberof ova will then be present in the urine. The urine from which the illustration was taken gave all the featuresof a severe acute catarrhal cystitis. It contained a small number of mi-nute particles, which proved to be the ova; also a part of the body of anascaris. The ova, of a yellowish-brown color, are round formations, en-closed in a thin, irregular capsule and a somewhat thicker membrane; MICRO-ORGANISMS AND ANIMAL PARASITES. 165 the interior is coarsely gran

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