Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14785704153)
Zusammenfassung
Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
Subjects:
Publisher: New York, London : D. Appleton and company
Text Appearing Before Image:
)a)));iti(»n, inspection, and ureteral catheteri-zation. PALPATION. For the purpose of palpation it is well to consider the urinary tract asdivided into three segments: (1) the pehic portion; (2) that portion whichlies between the brim of the pelvis and the kidney, the abdominal portion ofthe ureter; (3) the renal portion (Fig. 113). The Pelvic Portion.—In examining this portion we may again consider itas divided into three parts: the urethral, the vesical, and the two ureteraltracts. By palpation of the urethra we note at once any large gaping urethral ori-fice into which the finger sometimes tends to slip; also, when, rolling the urethral 238 EXAMINATION OF THE URINARY TRACT IN WOMEN. orifice from side to side under the finger, one sometimes feels two little wirystructures about 1 cm. in length, embedded in the tissues at the side of the
Text Appearing After Image:
Fig. 113.—A Convenient, Practical Division of the Regions of the Urinary Tract.From the external urethral orifice to the upper calyx of the kidney, as traversed by a renal catheter. PALPATION. 239 external urethral orifice. These are the inflamed, hardened ducts of Skenesglands. When affected in this way by chronic gonorrheal inflammation they arevery mnch like the in-flamed, hard Bartho-lins ducts in thelabia. On squeezingone of these glands ina direction from abovedownward in chronicgonorrheal cases adrop of pus can bemade to exude (Fig.114). One must notmistake for this con-dition the whitish,inspissated materialmade up simply of ac-cumulated debris re-sulting from the shed-ding of the glandularepithelium which notinfrequently accumu-lates to a great extent.The urethra itself,about 3 cm. in lengthand firmly adherent to the vaginal mucosa, iseasily rolled from sideto side under the fin-ger. Any enlargementof the urethra, due tocancerous infiltration,is at once recognizedby the incr
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