. Physical diagnosis . f cells not coming from theblood-vessels (squamous, spin-dle-shaped, etc.) is usually asso-ciated with cystitis, provided theaccidental admixture of vaginaldetritus is excluded. Pyelitisand renal suppurations may fill the sediment with similar cells,and only by other methods of examination (cystoscopy, ureteralcatheterization) and by taking account of all the facts in the casecan the differentiation be made. 3. Crystals in Urinary Sedi-ments (see Figs. 224, 225, and 226).—The varieties oftenest seen are:(a) Triple phosphate (ammoniacalurine, cystitis); (b) ammoniumurate;
. Physical diagnosis . f cells not coming from theblood-vessels (squamous, spin-dle-shaped, etc.) is usually asso-ciated with cystitis, provided theaccidental admixture of vaginaldetritus is excluded. Pyelitisand renal suppurations may fill the sediment with similar cells,and only by other methods of examination (cystoscopy, ureteralcatheterization) and by taking account of all the facts in the casecan the differentiation be made. 3. Crystals in Urinary Sedi-ments (see Figs. 224, 225, and 226).—The varieties oftenest seen are:(a) Triple phosphate (ammoniacalurine, cystitis); (b) ammoniumurate; (c) uric acid; (d) calcicoxalate. All of these varieties are color-less except the uric-acid crystals,which are usually light or darkyellow or yellowish-brown. None of these have much significance in diagnosis. The firsttwo merely confirm the evidence of urinary decomposition (usuallyfrom cystitis) afforded by the reaction, turbidity, and odor of theurine. Uric-acid crystals, if present in great numbers in the urine. Calcic Oxalate Crystals. THE INTESTINE, SPLEEN, KIDNEY 407 when passed, suggest the search for macroscopic masses (gravel)and for other evidence of renal stone, but as a rule they are of noimportance. The same may be said of calcium oxalate. Oxaluria is one of themost persistent bugbears of the medical profession, but it is utterly
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
