. A manual of clinical diagnosis by means of microscopical and chemical methods, for students, hospital physicians, and practitioners . with perfect safety. Itmust not be forgotten, however, that in certain eases of hysteriabodies may be shown by patients which they claim have passed bythe rectum, but which have been wilfully added to the stools, suchas snakes, frogs, etc. Microscopical Constituents. Constituents derived from Food.—Microscopically, indigestibleand undigested constituents of food may be seen (Fig. 42), such asthe framework of vegetable material, sometimes still containingstarch


. A manual of clinical diagnosis by means of microscopical and chemical methods, for students, hospital physicians, and practitioners . with perfect safety. Itmust not be forgotten, however, that in certain eases of hysteriabodies may be shown by patients which they claim have passed bythe rectum, but which have been wilfully added to the stools, suchas snakes, frogs, etc. Microscopical Constituents. Constituents derived from Food.—Microscopically, indigestibleand undigested constituents of food may be seen (Fig. 42), such asthe framework of vegetable material, sometimes still containingstarch-grannies or remnants of chlorophyll; muscle-fibres, usuallycolored yellow and more or less altered in structure. Elastic-tissuefibres are readily recognized by their double contour and bold out-lines. Connective-tissue fibres of the white fibrous variety can alsogenerally be distinguished ; wheu present in large quantities, how-ever, they are usually indicative of some digestive derangement, un-less they are observed following the ingestion of a meal particularlyrich in meat. Flakes of casein also are seen frequently. Fig. Collective view of the feces. (Eye-piece IT I., objective 8 A. Reichert.) a, muscle-fibres;o, connective tis-ue : c. epithelium : /. white blood-corpuscles; . spiral cells;/, i, variousvegetable cells : k, triple phosphate crvstals in a mass of various micro-organi>ms ; /, diatoms.(v. Jaksch.) Muscle-fibres are found in every stool whenever meat has beeneaten. Under normal conditions, however, they are not numerous,unless particularly large quantities have been ingested. Their ap-pearance under the microscope may vary considerably. On the onehand, fibres are met with which still retain their characteristic 14 210 THE FECES. features ; others are split up either partially or entirely into thewell-known disks ; but more common than both are more or lessroundish, yellow, apparently homogeneous fragments, which at firstsight do not resemble muscle-fibr


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectdiagnos, bookyear1902