Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . of calcium oxalate the calculus is hard, sometimes spiculated, and thesurface formed of small bosses {mulberry calctdus). The phosphaticcalculi are composed of triple phosphates and usually contain urate ofammonium and calcium carbonate. Occasionallv the stone consists ofcalcium carbonate alone. Cystin, xanthin, and cholesterin calculi arerare; a few cases of indigo calculus have been reported. Vesical lithiasisis commonly attended by cystitis, which in some cases is


Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . of calcium oxalate the calculus is hard, sometimes spiculated, and thesurface formed of small bosses {mulberry calctdus). The phosphaticcalculi are composed of triple phosphates and usually contain urate ofammonium and calcium carbonate. Occasionallv the stone consists ofcalcium carbonate alone. Cystin, xanthin, and cholesterin calculi arerare; a few cases of indigo calculus have been reported. Vesical lithiasisis commonly attended by cystitis, which in some cases is is frequently present. Tuberculosis of the bladder may be a part of a wide-spread genito-urinary lesion involving the kidney, ureter, bladder, prostate, seminalvesicles, spermatic duct, epididymis, and testicle. The infection mayoccur from the blood, by lymphatic extension, or from contiguouslesion in the prostate or seminal vesicles, or other adjacent general miliary tuberculosis, tubercles may be observed in the sub-mucosa of the bladder; they are rarely conspicuous or abundant. The E F E TUBERCULOSIS OF THE BLADDER Drawing made from fresh specimen One-half natural size Drawn bv Miss E. G. Harding LABORATORIES OF THE JEFFERSON MEDICAL COLLEGE HOSPITAL A.—Centre of large ulcer. At the end of the line is a distinct furrow, to which was attached a recent —Similar ulcer, but more recent. C—More recent ulcer almost ready to become cotiflueiit with the large tubercles. These at first glance resembled ulcers, but close inspectionshowed that they had not as yet broken down. Many of these are «t»-en. par-ticularly at the Viase of the —The point from which was excised the trigone prostate and urethra. —Points showing the patchy inflammation of the mucosa, which accomprtim - m • iculosis of the bladder. DISliASES OK Tin- l-klNAUY ORGANS. 67 I most tro( nuinifestation of vesical tuberculosis is t


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