File:A practical treatise on urinary and renal diseases - including urinary deposits (1879) (14594490508).jpg

Identifier: practicaltreatis1879robe (find matches)
Title: A practical treatise on urinary and renal diseases : including urinary deposits
Year: 1879 (1870s)
Authors: Roberts, William, Sir, 1830-1899
Subjects: Urine Urinary organs Kidneys Kidney Diseases Urinary Calculi Urinalysis
Publisher: Philadelphia : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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paid very large sums to a quackwho had persuaded him that the flaky shreds in his urine— 1 2 n6 ORGANIC DEPOSITS. the innocuous vestiges of a gonorrhoea contracted five yearspreviously—were of a dangerous nature, and required activeand long-continued treatment. It is not a trifling matter tobe able to allay the alarm of such patients, and to convince themthat the subject of their anxiety is wholly unimportant. In females, epithelial sediments are both common and abun-dant. From the simple short urethra the urine receives littleor nothing ; but the vaginal membrane is throughout investedwith a lining of pavement epithelium, the elements of which aredetached with facility and in great quantity, giving rise to anabundant amorphous-looking, light, cloudy deposit in the urine.When examined microscopically this deposit is found composedof large flat cells resembling the epithelia of the mouth(Fig. 22). The cells either lie discrete, or united by theirborders into patches of rude mosaic.
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Fig. 22. Vaginal epithelium in the urine. A deposit of this character is found only in the urine offemales, and comparatively few are wholly exempt from it. Inthe subjects of vaginal leucorrhcea it is always abundant; butit is also present frequently, and in quantity, where there is RENAL EPITHELIUM. 117 no appreciable disorder of the genital passages. Even young(female) children may have a sedimentary mine from thiscause, especially those of a strumous habit. The epithelium of the bladder, ureter, and pelvis of thekidney finds its way into the urine of both sexes in cases ofvesical calculus, renal calculus, and pyelitis from any cause.The epithelium which lines these parts is of a transitionalcharacter, and presents a great variety of forms—cylindrical,spindle-shaped, caudate, oval, spheroidal, and irregular(Fig. 23). It cannot fail to be noticed how like some of these

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