The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . erate(luantity of brandy. Tonics, particularly the min-eral acids, iron, zinc, and quinine, may be given, and the residence should,if possible, be changed for a time to a warm climate. When calculus isfoimed, there is, owing to its roughness, and the irritable state of thepatients nervous system, usually a great deal of pain in the region ofthe bladder, requiring the free administiation of opiates. Phosphatic Diathesis This chiefly occurs in old persons, or in those who are prematurely aged, with


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . erate(luantity of brandy. Tonics, particularly the min-eral acids, iron, zinc, and quinine, may be given, and the residence should,if possible, be changed for a time to a warm climate. When calculus isfoimed, there is, owing to its roughness, and the irritable state of thepatients nervous system, usually a great deal of pain in the region ofthe bladder, requiring the free administiation of opiates. Phosphatic Diathesis This chiefly occurs in old persons, or in those who are prematurely aged, with a broken constitution and an anaa-mic condition of the system. In this diathesis, the sediment and calculimay occur in three distinct forms: 1. Triple or Ammoniaco-MaguesianPhosphate ; 2. Phosphate of Lime ; and 8. Mixed Phosphates, consist-ing of a mixture of the preceding varieties. 1. The Triple Phosphate (Fig. 716) usually occurs in urine that iscopious, pale, and barely acid, sickly to the smell, and soon decomposingand becoming very ofT^nsive. In other cases the urine is dark, alkaline,. Fig. 715.—Very rough Oxa-late of Lime Calculus. 724 URINARY CALCULUS.


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