File:Modern surgery, general and operative (1914) (14595937099).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ged sexual effort. The source of urethral hemorrhage can be ascertained by the use of theendoscope or, better, by means of the cysto-urethroscope. Vesical hemorrhage, including hemorrhage from the prostate,may follow the relief or retention of urine (hence do not draw off all the urineat once when a bladder is distended), may be due to stone, inflammation,tumors, etc., or may arise from traimiatisms, instrimiental or otherwise. Thecolor of the urine is usually bright red, but if long retained in the bladderit becomes black and often tarry. The reaction is alkaline. The clots, whenfloated out, are large and without definite shape. In micturition the urineis clear or only a little colored at the beginning, but becomes darker anddarker as micturition continues, and as it ends the flow may consist of almostpure blood. In very small vesical hemorrhages the urine may be smoky.Crystals of triple phosphate indicate bladder disorder. The microscope showsiM. I. Harris, in Medicine, April, 1898.
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Fig. 848.—Luyss separator: a, Thecomposite instrument ready for intro-duction; i and k, discharge tubes; h,screw to regulate the tension of themembrane; b, flat middle piece; c and d,grooved lateral portions; e, tip unitingthe parts; g-f, rubber membrane, tense.The chain is not visible in the figure(Sahli). Frequency of Micturition 1271 colorless and swollen corpuscles and many polygonal cells. Symptoms ofbladder mischief usually exist, but cystoscopical examination or exploratorysuprapubic cystotomy may be required for the diagnosis. Pain in Qenito=urinary Diseases.—Pain as a symptom of genito-urinary disease may be found at some point distant from the seat of lesion.A stone in the bladder causes pain in the head of the penis just back of themeatus; stone in the kidney induces pain in the loin, the groin, the thigh,and the testicle; inflammation of the testicle causes pain in the line of thecord in the groin. In other cases of genito-urinary disease pain is felt atthe seat of les

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