Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . is is occasionallyfollowed by hematuria and pyuria. Septic symptoms mayarise. Small calculi generally pass from the kidney to thebladder, producing during their passage through the ureter thesymptoms of renal colic. There is a sudden intense pain extend-ing from the kidney to the testicles or labia, especially severeat the point where the stone is momentarily lodged in the is at the same time a sharp pain at the end of the penis,and t
Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . is is occasionallyfollowed by hematuria and pyuria. Septic symptoms mayarise. Small calculi generally pass from the kidney to thebladder, producing during their passage through the ureter thesymptoms of renal colic. There is a sudden intense pain extend-ing from the kidney to the testicles or labia, especially severeat the point where the stone is momentarily lodged in the is at the same time a sharp pain at the end of the penis,and the testicle on the affected side is retracted. There isalso a constant desire to urinate, but only a few drops are passedat a time, and the urine is then generally blood-stained. Theusual concomitants of shock are present, namely, intense pain,an anxious, pale, pinched countenance, covered with cold per-spiration, nausea and vomiting, small pulse, slight elevation oftemperature and collapse. The symptoms abate as soon asthe calculus has entered the bladder, the time of passage vary-ing, generally from one hour to a day. The aching pain across. Heberdens nodes. (Courtesy of S. Epstein, M. D., New York.) RENAL CALCULUS 339 the back may continue for two or three days, but is graduallydiminishing in severity. Immediately after the passage of thestone into the bladder there is a copious flow of urine which maycontain albumin, casts and blood. Occasionally a calculusbecomes impacted in some part of the ureter. In such case thecolicky pains will persist for days with a gradually diminishingintensity. A hydronephrosis follows, but if the other kidneyis healthy this will give no symptoms until the excessive workimposed upon the healthy kidney causes its and pyelitis may follow septic infection. The urine is acid if there is a uric acid calculus and alkalineif there is a phosphatic or oxalic concretion. Treatment.—A stone impacted in a ureter or so situatedin
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