An American text-book of genito-urinary diseases, syphilis and diseases of the skin . nts of the bladder in severe cystitis deserve a moments descrip-tion. Calculi are often present—formations secondary to the precipitation ofsalts by the ammoniacal reaction. They are usually small, but may be ofextreme size. When the urine is markedly ammoniacal and a large amount of pus ispresent, this in the presence of sodium chloride and ammonium carbonatebecomes converted into a gelatinoid mass which is difficult to void. In afew rare cases pneumaturia has existed; the gases were C02,H or H2S, orN, proba
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . nts of the bladder in severe cystitis deserve a moments descrip-tion. Calculi are often present—formations secondary to the precipitation ofsalts by the ammoniacal reaction. They are usually small, but may be ofextreme size. When the urine is markedly ammoniacal and a large amount of pus ispresent, this in the presence of sodium chloride and ammonium carbonatebecomes converted into a gelatinoid mass which is difficult to void. In afew rare cases pneumaturia has existed; the gases were C02,H or H2S, orN, probably produced by special bacteria. In nearly all cases of chronic cystitis hypertrophy of the muscular coatoccurs. It develops early, and is pronounced in those cases in which thecystitis is secondary to obstruction. It occurs in all other cases as the resultof the disturbed micturition. Late in the cases of obstruction the muscularwall may become so weakened by fatty degenerations that dilatation other cases there is fibrous overgrowth, causing contraction and muscular. Fig. 110.—Tufted inflammatic i the posterior wall of the bladder, which shows a muscular #hypertrophy (Orth). atrophy. This thickened, contracted bladder with ribbed mucous membraneis a familiar condition in old cystitis. In some cases the contraction of the bladder seems to have been irregular,and sacculations are produced. These may be large, and several may form a favorite lodgement for calculi. Another uncommon condition seen in cystitis is false diverticulum. Thisis supposed to be produced by a break in the muscularis, so that a portion ofthe mucous membrane projects through it to the perivesical fibrous diverticula may be as large as the bladder-cavity itself, and have notinfrequently been described as double bladder. They are usually posterior. In some cases of obstruction, where the dilatation of the ureters isextreme, the appearance of the base may be much distorte
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
