. Diseases of the rectum and anus: designed for students and practitioners of medicine. ilecoloring matter with regard to the presence of mucus is ofitself evidence of the existence of catarrh of the ileum; forthe reason that bile-pigment is normally met with only in theileum, never in the colon, and can therefore occur in the fecesonly when there is very active peristalsis of the ileum and 62 DISEASES OF THE RECTUM AND ANUS colon. If along with the coloring matter mucus also occurs,proof of catarrhal ileitis is established. Cylindric epithelial cells imbedded in mucus are of frequentoccurrenc
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ilecoloring matter with regard to the presence of mucus is ofitself evidence of the existence of catarrh of the ileum; forthe reason that bile-pigment is normally met with only in theileum, never in the colon, and can therefore occur in the fecesonly when there is very active peristalsis of the ileum and 62 DISEASES OF THE RECTUM AND ANUS colon. If along with the coloring matter mucus also occurs,proof of catarrhal ileitis is established. Cylindric epithelial cells imbedded in mucus are of frequentoccurrence in different pathologic conditions of the form is usually altered: swollen or shrunken. The pro-toplasm is granular as the result of fatty degeneration, andcontour and nucleus preserved. Unaltered epitheUal ceils aremet with exclusively in the large mucous shreds. Under theterm broken down epithelia Nothnagel has described spin-dle-formed, slightly-glistening bodies which have been alteredby desiccation. They occur more frequently in firm than in diar-rheal Fig. Chloroform-inhaler. In addition to epithelial cells, leucocytes of variable sizeare usually present. As has already been stated, admixtureof pus is found in the feces only in ulcerative processes of theintestinal canal or adjacent parts. CHARACTER OF THE DEJECTA IN CERTAIN AFFECTIONS 1. In Acute Intestinal Catarrh the stools are more or lessincreased in number, while the consistence is pasty or to the seat of the catarrh, certain differences aremanifest:— (a) If the ileum only is affected, there occur frequent, thinevacuations mixed with macroscopic bile-stained mucus in- EXAMINATION 63 closing numerous cylindric epithelial cells; the above-men-tioned yellow mucous granules (Nothnagels) are also oftenobserved. (b) In catarrh of the upper portion of the colon, which isusually associated with catarrh of the small intestine, the thor-oughly-mixed, liquid, soup-lik
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
