A manual of clinical diagnosis by means of microscopical and chemical methods, for students, hospital physicians, and practitioners (1902) (14576805709)

Identifier: manualofclinica00simo (find matches)
Title: A manual of clinical diagnosis by means of microscopical and chemical methods, for students, hospital physicians, and practitioners
Year: 1902 (1900s)
Authors: Simon, Charles E. (Charles Edmund), 1866-1927
Subjects: Diagnosis
Publisher: Philadelphia and New York, Lea bros. & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress



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is, as well as in the ordinaryparenchymatous form, tube-casts are probably always found, and itwould further appear that acute circulatory disturbances affecting MICROSCOPICAL EXAMINATION OF THE URINE. 535 the renal parenchyma quite constantly lend, not only to albuminuria,but also to cylindruria. Spermatozoa.—Spermatozoa, lorn description of which the readeris referred to the chapter on the Semen, arc frequently observed inthe urine of healthy adults, and are quite constantly met with in thefirst urine passed after coitus or nocturnal emissions, when theirpresence is, of course, of no significance (Fig. 127). Such urine-are always cloudy, but it is impossible to recognize the source of theturbidity by simple inspection. A sediment composed of phosphates is popularly often regardedas due to semen, and no doubt every physician has seen patients,—usually sexual neurasthenics,—who were greatly alarmed at find-ing a white deposit in the chamber, and who imagined themselves Fig. 127.
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Human spermatozoa. sufferers from loss of manhood. The microscope is necessary inevery case to determine the presence of spermatozoa. In female- Bemen may be found in the urine whenever the externalgenitals have been polluted during or after coitus, as well as in theexceptional cases in which connection has been effected by the urethra.From a medico-legal standpoint the discovery of spermatozoa in theurine of women may be of the greatest importance, but otherwise itis without significance. In a few instances it is stated that trichomonads have been mis-taken for spermatozoa. I am convinced, however, that such anerror can only occur if the observer is totally unacquainted with thesubject under consideration. In pathological conditions spermatozoa are not infrequently foundin the urine. In cases of obstinate constipation, owing to pressure 536 THE URINE. of hard scybalous masses upon the seminal vesicles, a partial evacu-ation of semen may occur, which may or may not be accompaniedby se