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Updated: September 24, 2025
It was a pedunculated growth, and it was undoubtedly vesical and not expelled from some ovarian source through the urinary passage, as sometimes occurs. The simpler forms of the ordinary dermoid cysts contain bone and teeth.
Third day, rigor, acute fever; reddish and hard swelling on both sides of neck and chest; extremities cold and livid; respiration elevated; drink returned by the nose; she could not swallow; alvine and urinary discharges suppressed. Fourth day, all symptoms exacerbated. Fifth day, she died. We probably have here to do with a case of diphtheria.
Hence it appears, that certain fluids at the beginning of intoxication, find another passage to the bladder besides the long course of the arterial circulation; and as the intestinal absorbents are joined with the urinary lymphatics by frequent anastomoses, as Hewson has demonstrated; and as there is no other road, we may justly conclude, that these fluids pass into the bladder by the urinary branch of the lymphatics, which has its motions inverted during the diseased state of the animal.
The chromatics of the insect, having as its basis the urinary waste products, might well be found in various animals of a higher order. We know of at least one example. The pigment of a small American lizard is converted into uric acid under the prolonged action of boiling hydrochloric acid.
When the rays of the sun strike directly upon the retina, light pain causes an immediate protective action, so too in the evacuation of the intestine and the urinary bladder as normal acts, and in overcoming obstruction of these tracts, discomfort or pain compel the required muscular actions.
There can be no doubt that in the adult, the food has exactly replaced the loss of substance: it has supplied just so much carbon, hydrogen, nitrogen, and other elements, as have passed through the skin, lungs, and urinary organs. In youth the supply is greater than the waste. Part of the elements of the food remain to augment the bulk of the body.
Some of these glands are furnished with long convoluted necks or tubes, as the seminal ones, which are curiously seen when injected with quicksilver. Others seem to consist of shorter tubes, as that great congeries of glands, which constitute the liver, and those of the kidneys. Some have their excretory apertures opening into reservoirs, as the urinary and gall-bladders.
The bladder also opens into the cloaca in the Monotremes, and, indeed, apart from the two urinary ducts; in all the other Mammals the latter open directly into the bladder. It was proved by Haacke and Caldwell in 1884 that the Monotremes lay large eggs like the reptiles, while all the other Mammals are viviparous.
Displacement or partial extrusion of the dead bone may cause complications, as when a sequestrum derived from the trigone of the femur perforates the popliteal artery or the cavity of the knee-joint, or a sequestrum of the pelvis perforates the wall of the urinary bladder.
The urinary products, being unable, for want of an open outlet, to flow away as formed, accumulate in the adipose tissue, which thus serves as a common store-house for the residues of the present and the plastic material of the future organic processes.
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