A case of endemic haematuria from the Cape of Good Hope / by Arthur Davies.

  • Davies, Arthur Templer, 1858-1929.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: A case of endemic haematuria from the Cape of Good Hope / by Arthur Davies. 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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    July g_Is about the same. Urine: live embryos not seen. j„ly [5.—Passes less blood ; has less pain on the whole ; lias not to strain so much ; bladder not washed out now. Weight = 11 st. 4 lbs. No live embryos seen. July 22.—About the same. Urine: no live embryos seen; still a large number of ova, with leucocytes and red-blood cor- puscles. Went out on August 5- Weight — n st. I lb. He was at first treated with quinine; afterwards, for several weeks, drachm doses of tinct. kamala, which he took every four hours. He continued taking this until he left the hospital, and the final examination of his urine showed absence of living embryos, so that, apparently, the embryos were affected by the kamala. Continued coming to the hospital once a fortnight, still taking kamala. On September 19 he stated that he is not in pain excepting from 10 am. to 1 p.m., when he wishes to pass his water, and has a difficulty in doing so. Says he passes clear urine at times, but always a quantity of blood afterwards; feels weak at times. Kamala was changed on this day for salicylate of soda, gr. v. ter die. Urine examined on September 19 ; showed same appearances, but with living embryos. Readmitted on October 3. Gained 2\ lbs. during last fort- night. Since he left the hospital in August has been on the whole better; found that constant change benefited him; thinks that the salicylate of soda enabled him to pass his urine more easily; still complains.of pain of an aching character at the root of the penis in the morning from 10 A.M. to 1 P.M.; has the same scalding sensation, and says that the “clots” whilst passing seem to cut him. He states that he passes his urine in two ways now. In one, the urine is clear with “large clots ;” in the other, it is of a bright red colour with “small 'clots.” Still passes occasionally whilst straining small jelly-like substances with blood per rectum; has entirely lost pain in hypogastric region ; is not weaker in anyway. Urine: bright red in appear- ance; flaky mucoid deposit containing ova and living embryos of the bilharzia hasmatobia, abundance of leucocytes, and red- blood corpuscles. Spleen still felt. October 5.—Passed clear urine followed by clots ; a good deal of pain. October 7.—Painless; clots less formed; passed some blood per rectum ; ordered oil of turpentine rrpio out of mucilage and peppermint water. October 10.—Says he can pass bis urine more easily and with less pain; in the urine are still to be found living embryos of the bilharzia; thinks that he passes more blood in the day than at night.