. Urinary analysis and diagnosis by microscopical and chemical examination. he middle layers are abundant in inflam-mations of the vagina. They are considerably larger than those from thebladder, have one or more nuclei, and in chronic inflammations containfat-granules and -globules. These are also found in clusters of consider-able size. The columnar epithelia from the deepest layer, much larger thanthose from the bladder, are seen only in intense, deep-seated inflamma-tions or ulcerations, where they may sometimes be found in large num-bers. Smegma.—Of common occurrence in the urine of the f
. Urinary analysis and diagnosis by microscopical and chemical examination. he middle layers are abundant in inflam-mations of the vagina. They are considerably larger than those from thebladder, have one or more nuclei, and in chronic inflammations containfat-granules and -globules. These are also found in clusters of consider-able size. The columnar epithelia from the deepest layer, much larger thanthose from the bladder, are seen only in intense, deep-seated inflamma-tions or ulcerations, where they may sometimes be found in large num-bers. Smegma.—Of common occurrence in the urine of the female are clus-ters of epidermal scales, so-called smegma, partly from the clitoris, partly 120 URINARY ANALYSIS AND DIAGNOSIS. from the labia, or from the vagina. Smegma may also be found in smallamount in the male, from the prepuce, but here it is not so common norseen in such enormous masses as in the female (see Fig. 59). Smegma consists of closely packed masses of variously sized epidermalscales filled to a greater or less degree with bacteria—both cocci and ba-. Fig. 59.—Smegma from the Clitoris (X 450). cilli—and also with extraneous fat-globules, as well as particles of individual scales, as before said, are never nucleated and rarelygranular, but appear shrunken. Such masses, which have been seen teccover an entire field of the microscope, are highly refractive, and whenlarge can be seen with the naked eye. Epithelia from Bartholinian Gland ( 60).—The epithelia fromthe Bartholinian gland resemble in size the round or slightly irregularepithelia from the prostate gland in the male, being about twice the di-ameter of pus-corpuscles. They are frequently present when the vaginal:epithelia are found in moderate or large quantities. Epithelia from Cervix Uteri.—Epithelia from the cervical portion ofrthe uterus are partly flat, partly cuboidal, and partly columnar, and quitelarge, though considerably smaller than those from the vagina, and al-ways
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecturine, bookyear1906
