File:Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14763477504).jpg

Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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onditions where thereis disease of the urinary organs, and their presence or absence contributesgreatly to making an accurate diagnosis and from this proceeding to suitabletreatment. PYURIA. Pyuria signifies pus-containing urine. This pus may enter at any pointin the tract from the external urethra to the kidney, and in woman there isfrequently contamination from inflamed genital organs. The presence of pussignifies, in general, in-flammation, and so it doeshere in a broad way,meaning that an inflam-matory condition of somesort is present in somepart of the urinary tract.There are conditions,however, when there maybe marked pyuria with-out actual inflammation ofthe urinary organs them-selves. Examples of thissort are met with in casesof rupture of pelvic ab-scesses, appendical abscesses, aud infected ovarian cysts into the bladder.Enormous amounts of pus may be thus evacuated, and yet no inflammation ofthe urinary organs proper exist. It is-well to keep in mind also that there can 213
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Fig. 108.—Pyuria from Suppurating Dermoid Cyst.(Mrs. F., Dec. 17, 1906.) 214 PYURIA, HEMATURIA, PNEUMATURIA AND HEMOGLOBINURIA. be inflammatory conditions of the urinary organs unassociated with pus inthe urine. Such is the case when encapsulated kidney abscesses are shut offfrom the renal pelvis or a closed pyonephrosis of one kidney from the bladder,under which circumstances the urine may be perfectly clear and normal. Aremarkable case of pyuria due to rupture of an ovarian dermoid directly intothe bladder is shown in Fig. 108. Turbidity of the Urine.—Pus gives to urine a turbid appearance. If it hasrecently mixed with the urine—for example, pus from the urethra—imme-diately after voiding it is likely to be found in flakes and little clumps float-ing in clear fluid; on the other hand, if pus has mixed with the urine for sometime, it is more distributed and gives a diffuse turbidity. The greater theamount of pus and the longer the contact between pus and urine the more tur-bi

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