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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![gonorrhoea, where death ensued. It is attended with in- flammatory fever, and is hable to excite vesical ulceration and suppuration. 7. Subacute hiflammatioii of the bladder is commonly the result of stricture of the urethra, of enlarged prostate, or of calculus, or paraplegia. The inner membrane reddened, and secreting a thick tenacious mucus, of a greyish brown colour, and of an ammoniacal smell, are the characteristic features of the disease. Effusion of lymph, ulceration of the mu- cous lining, and suppuration, are liable to follow. The tenacious mucus, which belongs to this state of the bladder, deposits, as Dr. Prout pointed out, phosphate of lime. When phosphate of lime from this source coexists, as it often happens, with the triple phosphate in the urine, a combined salt is formed, which will be presently described. I introduce the remark in this place to lead to the mention of an important improvement in practice by Sir Benjamin Brodie in cases of subacute inflammation of the bladder, where te- nacious mucus is present with or without the calculous mat- ter. In the second case, a weak solution of nitric acid (beginning with a drop, gradually increased to two, of con- centrated nitric acid to two ounces of distilled water), in- jected into the bladder, acts as a salutary astringent; in the first, this menstruum at the same time dissolves the vesical concretion ; and may even be employed to reduce a calculus, when its surface is composed of the phosphates, to a size in which it can be voided with the urine. 8. Ulceration of the bladder presents various appeaiances; sometimes the whole lining membrane is absorbed, and the muscular fibres have the appearance of being cleanly dis- sected : at other times the bladder is covered with numerous circular ulcers. The pain attending the passage of the urine, and continuing for some time afterwards, appears to be of the most severe character. 9. Sloughing of the bladder is the consequence of long- continued retention: it commonly occurs towards the fun- dus, [or. 110.] It is the danger of this contingency that ren- ders it sometimes necessary to puncture the bladder in re- tention.](https://iiif.wellcomecollection.org/image/b21066735_0576.jp2/full/800%2C/0/default.jpg)
