Cystitis in women : with report of forty-five cases, studied cystoscopically and some modifications of treatment / by Ellice McDonald.

  • McDonald, Ellice, 1876-1955.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Cystitis in women : with report of forty-five cases, studied cystoscopically and some modifications of treatment / by Ellice McDonald. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The common salt solution is convenient and effi- cient, one catheter of the writer having been boiled in this way eighteen times, before the silk and gum tissue became markedly injured. The cystoscopic instruments used were a simple, indirect examining cystoscope of the Nitze type, the Tilden Brown catheterizing cystoscope, and the Kelly cystoscope as modified by Cullen. Other in- struments were used experimentally, but the above were those constantly in use. For diagnostic and catheterizing purposes water dilatation of the bladder was the rule. The patient was in the lithotomy position upon a gynecological examining table. If it was necessary to examine the bladder with the Kelly instrument for applica- tions and other purposes, the hips were elevated, or the patient put into the knee-chest position, in order to get air inflation of the bladder. The cases noted in this paper were all examined in a public clinic (Vanderbilt Clinic), and the fact that they returned for treatment is evidence of the lack of discomfort that the examination caused. The writer is indebted to Drs. Healy, Proben, Roif, Stone, and Meeker for referring these cases. The following abstracts of the histories of forty-five cases note the more important conditions found at cystoscopic examinations. The discussion of the cases follows their citation. Frequency of urina- tion was the most common symptom which.caused a cystoscopic examination to be made. This fre- quency in the histories is estimated in amount by the number of times a woman has to arise at night to urinate. Clinic No. 44,529.—Frequency; pain; urgency. No re- turn urgency. !IWght cystic o^ary. Cystoscopic examina-