Cystitis in women : with report of forty-five cases, studied cystoscopically and some modifications of treatment / by Ellice McDonald.

  • McDonald, Ellice, 1876-1955.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Cystitis in women : with report of forty-five cases, studied cystoscopically and some modifications of treatment / by Ellice McDonald. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    9/26 (page 7)
    for four months. Right floating kidney. Perineorrhaphy four years ago. Moderate cystocele. Cystoscopic exam- ination. Marked chronic trigonitis. Slight chronic cystitis. Right ureteral orifice reddened. Ureters catheterized and kidney urine negative for tubercle. Clinic No. 43,700.—Age 19. Frequency 5-6. Urgency, pain, and return urgency for six months. Pain in right side for three weeks. Lost ten pounds in three weeks. Headache. No abdominal pain. Much pus in urine. Tu- bercle bacilli and long grooved angular leucocytes found in urine; their protoplasmic outline irregular and swollen. Vacuoles and detached nuclei in leucocytes. Many red corpuscles. Cystoscopic examination. Acute hyperemic exudative cystitis with several small ragged undermined ulcers. Right ureteral orifice markedly inflamed and left orifice slightly inflamed. Ureters catheterized. Tubercle bacilli, pus, and red cells found in right kidney urine, but left kidney urine clear. Nephrectomy by Dr. Blake showed right kidney with marked tuberculous disease. Bladder cleared up under treatment after operation. Patient gained forty pounds in six weeks following operation and was perfectly well in two months. Clinic No. 45,672.—Age 23; three miscarriages. Fre- quency 2-3; urgency and pain for one year. Blood and pus in urine. Cystoscopic examination. Marked hyper- emic cystitis with exfoliation and small ulcers with under- mined edges around the right ureteral orifice. Right ure- teral orifice markedly inflamed. Left ureteral orifice ir- regular, with some swelling and redness of the edges and slight congestion of the surrounding mucous membrane. There were a few reddish excrescences. Ureters were catheterized. Tubercle bacilli and pus found in the right kidney urine, and left kidney urine was clear. Nephrec- tomy refused. Bladder improved under treatment. Clinic No. 46,343.—^Age 16. Left tuberculous hip-joint disease with marked deformity. Frequency and pain on urination for three months. Cystoscopic examination. Moderate hyperemic cystitis with small, clear tuberculous- like fine gray points, surrounded by a reddish zone of con- gestion and inflammation. The whole mucosa is injected and swollen. Ureteral orifices are apparently normal. Pus and tubercle bacilli in urine. Ureters were catheterized and kidney urine from both sides was found to be without pus or tubercle; so it was concluded that the disease was pri- mary in the genitourinary tract arid was due to miliary