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They would lodge in the urethra and cause constant irritation. At his death a stone was taken from the bladder, covered with scurf and hair. Hall relates the case of a woman of sixty, from whose bladder, by dilatation of the urethra, was removed a bundle of hairs two inches long, which, Hall says, without a doubt had grown from the vesical walls. Retention of Foreign Bodies in the Pelvis.
He was buried in Kirk Andreas Churchyard, and his grave was strictly guarded against medical men by his friends, but the body was finally secured and taken to Dublin by Dr. McCartney. Calculi. In reviewing the statistics of vesical calculi, the strangest anomalies in their size and weight have been noticed. Among the older writers the largest weights have been found.
Blaine says that he found no fewer than 40 or 50 in the bladder of a Newfoundland dog. One of them had passed out into the urethra, and had so blocked up the passage that the flow of urine was prevented, and the animal died of mortification. With much pleasure I refer to the details of Mr. Blaine with regard to the management of 'vesical calculi'.
At the autopsies the rent was found to be in both instances in the posterior wall of the bladder a short distance from the fundus; the peritoneum was not inflamed, and there was absolutely no inflammatory reaction in the vesical wound.
The trajectories of their, first sequent, then simultaneous, urinations were dissimilar: Bloom's longer, less irruent, in the incomplete form of the bifurcated penultimate alphabetical letter, who in his ultimate year at High School had been capable of attaining the point of greatest altitude against the whole concurrent strength of the institution, 210 scholars: Stephen's higher, more sibilant, who in the ultimate hours of the previous day had augmented by diuretic consumption an insistent vesical pressure.
Actual retention of urine, that is, urinary secretion passed into the bladder, but retention in the latter viscus by inanition, stricture, or other obstruction, naturally cannot continue any great length of time without mechanically rupturing the vesical walls; but suppression of urine or absolute anuria may last an astonishingly extended period.
Recent records of large calculi are offered: by Holmes, 25 ounces; Hunter, 25 ounces; Cayley, 29 ounces; Humphrys, 33 ounces; Eve, 44 ounces; and Janeway, 51 ounces. Kirby has collected reports ol a number of large vesical calculi. Barton speaks of stone in the bladder in very young children. There is a record of a stone at one month, and another at three years.
Todd describes a stone in the bladder of a child of sixteen months. May removed an enormous stone from a young girl, which had its nucleus in a brass penholder over three inches long. Multiple Vesical Calculi. Usually the bladder contains a single calculus, but in a few instances a large number of stones have been found to coexist.
The worm is serrated on the one side, each segment having 1 1/2 cusps. The urine pale, faintly acid at first, within the last week became almost neutral. There was considerable vesical irritation for the first week, with abundant mucus in the urine, specific gravity was 1010; there were no albumin nor tube-casts nor uric acid in the urinary sediments. Later there were pus-cells and abundant pus.
Bourienne, Oberteuffer, Ruysch, Bartholinus, Morgagni, and Franck speak of vesical duplication. There is a description of a man who had two bladders, each receiving a ureter. Bussiere describes a triple bladder, and Scibelli of Naples mentions an instance in a subject who died at fifty-seven with symptoms of retention of urine.
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