Cystoscopy and Urethroscopy for General Practitioners

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1999, Gift of Dr. George R. Wilkinson. Owned by Dr. Theodore McC. Davis.
 

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Page 68 - In patients without urinary obstruction the catheter is withdrawn at the time of the appearance of the drug in the urine, and the patient is instructed to void into a receptacle at the end of one hour, and into a second receptacle at the end of the second hour.
Page 68 - ... free urinary secretion, otherwise delayed time of appearance may be due to lack of secretion. Under aseptic precautions a catheter is introduced into the bladder and the bladder completely emptied. Noting the time, 1 cc of a carefully prepared solution of phenolsulphonephthalein containing 6 mg.
Page 40 - Pyonephrosis, (3) total obliteration of kidney secreting tissue. "G. If there be kidney disease present, to determine (i) if only one kidney is affected or both ; (2) if only one, which is the affected one; (3) if both, which is the one more affected; (4) if removal of the worse one be advisable, is the other one able to carry on kidney function sufficiently? (5) if removal of one be advisable, and the other is capable of supporting life, will the operation remove the infection from the body, removing...
Page 68 - The color displayed in the acid urine is yellow or orange, and this immediately gives place to a brilliant purple red color when the solution becomes alkaline. This solution is now placed in a liter measuring flask and distilled water added to make accurately i liter.
Page 69 - The amount of drug in the solution being known, the amount in the urine can be readily calculated. When the collected urine has been made strongly alkaline it is necessary to estimate the phthalein within a few hours, as the red color fades gradually under these conditions. When it is desirable or necessary to defer the estimation for some hours or days it is better to make the urine distinctly acid, under which condition the phthalein remains unchanged. It should, of course, be made alkaline again...
Page 69 - This solution is now placed in a liter measuring flask and distilled water added to make accurately 1 liter. The solution is then thoroughly mixed and a small filtered portion taken to compare with the standard, which is used for all these estimations.
Page 40 - To irrigate and medicate (1) the ureters ; (2) the kidney pelvea of one or both sides. C. To assist, by anesthetizing and enlarging the ureter opening, the passage through it of a calculus or a plug of pus, blood, etc. D. To use the ureter, after it is catheterized, as a guide in certain abdominal and pelvic operations. E. By prolonged catheterization of a ureter to assist in the cure of ureteral fistula.
Page 40 - By facilitating drainage through the increased ureter-caliber, thus obtained, to assist in the improvement of pyelitis, or pyonephrosis, unilateral or bilateral. B. To irrigate and medicate (1) the ureters; (2) the kidney pelves of one or both sides. C. To assist, by anesthetizing and enlarging the ureter opening, the passage through it of a calculus or a plug of pus, blood, etc. .D. To use the ureter, after it is catheterized, as a guide in certain abdominal and pelvic operations. E.
Page 70 - Intramuscular and intravenous injections have also been employed. The time of appearance following the intramuscular administration is practically the same as that after the subcutaneous, but the output averages 5 to 10 per cent. more for the first hour. Following the intravenous injection, the drug normally appears in. from 3 to 5 minutes, and from 35 to 45 per cent. of the drug is eliminated in the first 15 minutes, 50 to 65 per cent.
Page 202 - Urethroscopic examination by Dr. Young. No. 26 Otis tube was passed into the prostatic urethra, but it was impossible to introduce it as far as the verumontanum . The anterior portion of the prostatic urethra which was examined showed nothing particularly abnormal. The membranous urethra was also about normal. As soon as the bulbous urethra was reached, in drawing the urethroscope outward, the picture was. at once remarkably abnormal. Several large...

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