Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![neither dependent on disease in il, nor of the viscera with which it directly sympathizes. A gentleman whom I at- tended had constant neuralgia of the bladder, and in the eye-balls: he suffered besides occasional severe attacks of spasm of the sphincter ani. The bladder is sometimes the seat of sympathetic pain when the disease is in the kidneys. ''A patient, says Morgagni, ''complained of very little pain in the region of the kidney; while he was tormented with pain in the bladder so excru- ciating, that five or six physicians who attended him enter- tained no doubt that the seat of the disease was in that organ. On dissection, however, no vnorbid appearance was discovered in the bladder, but there were large and ramify- ing calculi of the kidney. 4. Hyperlrophy of the bladder. The muscular coat of the bladder, when called upon or excited to repeated and forcible action through stricture of the urethra, or prostatic enlarge- ment, or calculus, becomes firmer, thicker, and of a darker colour: it sometimes attains a thickness exceeding half an inch. In this state it does not dilate as before, and is incapable of holding more than a few ounces of urine. [_x. 100.] 5. Sacculation of the bladder is a hernia of the mucous and submucous coats, a fold of which is pushed out between the muscular fascicuh, whereby a sac is formed external to the bladder, but communicating with it. Such sacs are never formed, unless there is obstruction to the escape of urine from the bladder. I have seen as many as five sac- culi upon one bladder, [a:. 105.] The principal pathological relation of these sacs is to calculi: they have occasionally given rise to great ambiguity in cases of stone, from the temporary or permanent disappearance of the symptoms, on the stone happening to slip into one of them. 6. Acute inflammation of the mucous lining of the blad- der occasionally supervenes in gonorrhoea. The symptoms are, pain and weight, and frequent and painful micturition : the appearances, a bright red colour of the membrane, prin- cipally upon the prominences of the rugse. I have seen a specimen of this disease following the abuse of injections in 2 N 2](https://iiif.wellcomecollection.org/image/b21066735_0575.jp2/full/800%2C/0/default.jpg)
