An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

    337/540 (page 299)
    UEINAEY DEPOSITS. 290 diathesis: Vegetablo diet: white fish. Avoidance of alcoholic dviiiks. Free use ot' simple diluents. Vichy or Carlsbad watei's. Acetate of potash. Bicarbonate of potash. Solution of potash. Citrate of potash. —In 2}J/0!i2)Jialic diathesis : Animal food. Wine ; diluted spirits. Bark. Quinine. Phosphoric acid. Nitro-hydroehloric acid. Steel. Opium.—Jno.vaI.uria:—Avoidance of garden rhubarb, sorrel salad, and sugar. Nitro-hydrochlorio acid. Tepid or cold bathing. Prictiun of skin. Warm clothing. jSea air. Attention to digestive organs. —To relieve pain of aiii/ form of calculus passing down ureter:-^ Hot bath. Chloroform or ether, inhalation of. Opium, in full doses, llorphia injections. Digitalis. Belladonna. Barley water, or anj' emollient diluent, with spirit of nitrous ether.—For chccHvr/ hamor- 7-Jiar/c :—Qn\ct. Gallic acid, 103. Tincture of perchloride of iron, 101, 302. lion alum, 116. Pill of lead and opium. IV/ien j^iicUtiir and ahscess :—opei-ation for extraction of stone or removal of kidney. Tkeat.ment of Vesical Cai.cui.u.s ix Males. Opium and bella- donna to allay pain. If stone be small, patient to allow urine to accumulate and then to discharge it forcibly in hot bath. Intro- duction of silver catheter with an open end, and washing out of bladder with warm water. Litliolrity. Lithotomy. Attempts at solution of calculus (Litholysis) by alkaline and saline mi.xturos in the case of uric acid calculi, and by acid solutions for oxalate of lime and phnsphatio calculi, have hitherto failed. Injecting solvents into bladder, has not succeeded. Electricity has been employed for dis- integrating calculi, but with very doubtfid results. That success will ultimately follow attempts at litholysis can hardly be doubted. Treatjient op \'!;sic'al C'alcuhs in Females. Four methods for removal of stone:—(1) Lithotiity : by far the best plan, as a general rule. (2) Dilatation of urethra by sponge tents, or a three- bladed expanding dilator, or by India lubber bags, wdiich can be in- flated after introduction. Patient to be under influence of chloro- forrii._ Apt to be followed by permanent incontinence of nrine. (3) Incision of external urethral oritice, with streteliing of canal by threc-bladed dilator. May produce incurable incontinence. (4) Vaginal lithotomy: edges of incision into bladder being brought together by silver wire sutures, as in operation for vesico-vaginal fistula. URINARY DEPOSITS.—Two varieties,—Inorganic and Organic. (1) Inorr/anic fJcpo.^ils:—Uric, or lilhic acid; amorphous or mixed urates, consisting of uric acid combined with several bases—am- juonia, =oda, potash, lime; urate of soda; urate of ammonia; hip- puric acid ; oxalate of lime ; carbonate of lime ; amorphous plios- jihato of lime, or bone-earth ; crystallized phosphate of lime, or stellar phosphate ; phosphate of ammonia and magnesia, or triple pho-sphatc ; cystine, or cystic oxide; xanlhino, or xanthic oxide; leucine and tyrosine. (2) 0/v/rt)/(> 7;e7)o,9)7.9 .•—I]pithelium from pelvis of kidney, ureter, bladder, urethra, and vagina ; epithelium I'rom nriuiferous tubes, with CAsfs of the tubes (as found associated ^vilh albuminuria), such casts or