The Surgical Clinics of Chicago Volume 2, No. 4

The Surgical Clinics of Chicago Volume 2, No. 4

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1918 edition. Excerpt: ...with no demonstrable leukocytes. In suspected cases, however, repeated careful examinations of centrifuged specimens from the bladder will give many positive findings where single examinations are negative. Renal infection cannot be ruled out on the finding of a single normal bladder specimen. Cystoscopic Findings.--While a majority of patients suffering from pyelonephritis have bladder symptoms and positive bladder cystoscopic findings, about one-third of the bladders associated with such infection are apparently perfectly normal, and this in spite of the constant presence of septic urine. Those with moderate bladder findings predominating present a loss of normal luster, with hyperemia about the trigone, usually most marked about the ureteral orifice, from which the septic urine is coming. A small percentage of patients present marked vesical changes characterized by generalized hyperemia associated with more or less edema, usually localized. Bladder observation is often difficult due to the mucopurulent material present and to the relative intolerance of the bladder to the distending medium. This type of bladder closely resembles those seen with tuberculous involvement, and requires considerable local treatment before the primary cause of the infection can be ascertained by ureteral catheterization. The bladder symptoms seem not to be altogether dependent upon the condition of the bladder, as many patients with apparently normal bladders complain equally as much as some with marked vesical changes, a fact explained on the basis of reflex pain not unlike that seen with renal pelvic stone with bladder symptoms. Diagnosis.--This can often be suspected on the symptoms, but can only be absolutely made on a careful examination of the bladder...show more

Product details

  • Paperback | 56 pages
  • 189 x 246 x 3mm | 118g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 123678765X
  • 9781236787651