An atlas of clinical microscopy . n,even if this has taken place some days before the discovery of theglobules. Cases where, the kidneys being healthy, fat is excreted fromthe blood into the urine are not frequent, but they exist. Exces-sive contents of fat in the blood, as in abundant ingestion of fat oroils, are necessary, or else we find it in the so-called chyluria,which, however, is rare. Fat-globules have been rejDeatedly discovered in urine in chronicosseous diseases and in diabetes; also in grave cachexias broughtabout by other causes. ]^aturally we will find them in all diseasesconnec
An atlas of clinical microscopy . n,even if this has taken place some days before the discovery of theglobules. Cases where, the kidneys being healthy, fat is excreted fromthe blood into the urine are not frequent, but they exist. Exces-sive contents of fat in the blood, as in abundant ingestion of fat oroils, are necessary, or else we find it in the so-called chyluria,which, however, is rare. Fat-globules have been rejDeatedly discovered in urine in chronicosseous diseases and in diabetes; also in grave cachexias broughtabout by other causes. ]^aturally we will find them in all diseasesconnected with fatty degeneration of renal epithelium, as in ne-phritis and after poisoning. The microscope alone is necessary for the discovery of fat inurine; the fat-globules are easily recognized as small, stronglyrefracting, shining spherules, which are readily soluble in ether. The specimen of Plate 48 is taken from a very cachectic indi-vidual with severe vesical catarrh and evening fever; he has neverbeen catheterized. PLATE 48. hlh Chronic \esica] catanii (iilkriliiie reacüdiiFat qioLniles m urine . !>( iTiS rnicroscopf. PLATE 49. CHEONIO VESICAL CATARBH, WITH ACID REACTION.—ECTASIESOF THE BLADDER, WITH ALKALINE CONTENTS. 94 CLINICAL MICROSCOPY. CHEONIC VESICAL CATARKH {Continued). Speaking of the alkaline fermentation of urine, we have al-ready mentioned that in the same urine several layers could showdifferent reaction, and also that this could already take place in thebladder. This latter observation can principally be made when, in conse-quence of hypertrophy of the prostate or stricture of the urethra,in conjunction with long-continued catarrh, dilatation and ectasiaof the bladder have been formed. The sediment of this catarrhal urine remains in these pocketsoften for a considerable time, and undergoes further fermentation,in which the urine, which freshly arrives from the kidneys, does notparticipate at once. We find, then, the extraordinary appearanceth
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmicroscopy, bookyear1
