On the removal of stone from the bladder, without the use of cutting instruments ... : together with a description and plates of the instruments invented by Dr. Civiale and others, and details as to the mode of using them / by H.G. Belinaye.

Date:
1825
Catalogue details

Licence: Public Domain Mark

Credit: On the removal of stone from the bladder, without the use of cutting instruments ... : together with a description and plates of the instruments invented by Dr. Civiale and others, and details as to the mode of using them / by H.G. Belinaye. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    sediment in calculous urine, as well as its specific gravity, may assist our discrimination. The observation of the state of the constitution facilitates our distinction of different species of stone; for in the phosphatic diathesis its strength and tone are lost; in the lithicacid diathesis there is an opposite tendency to fever and inflamma- tion ; and in the oxalate of lime diathesis there is often no disturbance of the constitution, but such as the symptoms of the stone may occasion- lally give rise to. To have more precise means of judging of jthe nature of the stone present in the bladder, is |a great desideratum. This Fourcroy proposed ito accomplish by injecting a weak alkaline or I acid solution into the bladder, which, being ex- camined, after having been allowed to remain there aa sufficient time, would, by the combination it *had formed, impart to the physician a knowledge of the stone’s composition. This object may be cmore certainly effected by introducing, through an open-ended silver tube, a stilet ended by a nsmall fine rasp; by which means particles of MStone may be easily obtained. I shall have again an opportunity of mentioning this instrument, lhand shall then point out an instance of its use. Knowledge being once obtained of the cha-