Diseases of the Genito-Urinary Organs; Considered From a Medical And Surgical Standpoint Including a Description of Gonorrhea in the Female And Conditions Peculiar to the Female Urinary Organs

Cover Diseases of the Genito-Urinary Organs; Considered From a Medical And Surgical Standpoint Including a Description of Gonorrhea in the Female And Conditions Peculiar to the Female Urinary Organs
Diseases of the Genito-Urinary Organs; Considered From a Medical And Surgical Standpoint Including a Description of Gonorrhea in the Female And Conditions Peculiar to the Female Urinary Organs
Keyes, Edward Loughborough, 1873-
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Physical signs.
Tuberculin tests.
Cystoscopy and ureter catheterism.
Urinary Signs. — The characteristic urine of tuberculosis is acid and purulent. It contains the tubercle bacilli and perhaps other bac- teria. A low percentage of urea and higli percentage of albumin, and the presence of casts are suggestive of severe toxic nephritis of the oppo-.
site kidney.
Acidity. — The acidity of the urine descending from a tubercular kidney is not excessive, but this urine is always acid unless there is
... marked mixed infection with ammoniogenic cocci. Such a mixed in- fection is very unusual.
Pyuria — Fntil mixed infection occurs, the urine from a tubercular kidney contains little pus ; but if the mixed infection is slight, there may Digitized by VjOOQIC 460 TUBERCULOSIS OF THE KIDNEY These characteristics, however, are not always sufficient to differentiate it from the smegma bacillus, which may occur in normal urine (PI. II, Fig. 3).
The smegma bacillus, which is closely related to, if not identical with, the so-called Lustgarten bacillus of syphilis, occurs in and about the normal preputial cavity (and in other regions outside the genitals).


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