A treatise on the formation, constituents and extraction of the urinary calculus; being the essay for which the Jacksonian Prize for ... 1833 was awarded / by John Green Crosse.

  • Cross, John, 1790-1850.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the formation, constituents and extraction of the urinary calculus; being the essay for which the Jacksonian Prize for ... 1833 was awarded / by John Green Crosse. Source: Wellcome Collection.

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    by symptoms very like those of stone. In the patient, whose bladder is represented in plate xix, fig. 1, and where a vascular tumour, planted round the termination of the right ureter, projects extensively into the bladder, many soundings were practised, and always followed by great bleeding and an increase of the patient’s sufferings. I lately had under my care a tall middle-aged man, suffering from such symptoms as a stone in the bladder would produce; he had become much emaciated in a few months, and almost daily lost some blood from the bladder, even when quiet and recumbent, and particularly after the use of the sound; I satisfied myself with thrice gently and guardedly examining him with the sound, but could detect no stone, and attributed his symptoms to a vascular tumour in the bladder. It would be inexcusable to omit a detail of the following case, which occurred in my own practice not a few years since. Master C. was about a year and half old, when I was first consulted about him, on account of frequent inclination to pass his water, attended by straining and painful efforts; he had been observed to be thus affected little more than a month, and was already shrunk by severe suffering. Medicine failing to relieve, I at length sounded the bladder, but could feel no stone. Alkalies, opiates and the warm bath were employed; he always rested a little better on the night the bath was taken; still his symptoms increased in severity, shrinking him rapidly. He was continually wet with urine, which was passed in drops, an effort being made at various intervals, from a few minutes to half an hour. Each attempt to void the urine was accompanied by violent straining and rubbing the end of the penis with the hand. The nights were passed in the same manner as the days, except that during the former, the little patient was said to scream more and strain rather less violently; unless laudanum were given him, he never got any rest until the morning, when he would occasionally sleep hurriedly for an hour or two. At almost every fit of severe straining and voiding of urine, a little foeces were passed, but the rectum never prolapsed. About every two or three weeks, I used the sound gently, and twice thought I felt a stone, but not satisfactorily; when I received this impression, it was always on passing the sound towards the left