Urinary Surgery: A Review (Classic Reprint)

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1kg Limited, 2017 M09 16 - 474 páginas
Excerpt from Urinary Surgery: A Review

This book is an attempt to set forth the symptoms of urinary disease, and to connect up those symptoms with the more important signs that can be detected by cystoscopy, urinalysis, bacteriology, and radiography.

The day for treating symptoms is passing away. Take haematuria as an example. One way of treating haematuria is to put the patient to bed, give him a little ergot or opium, and in a day or two the blood will disappear from the urine, and the patient will be allowed to return to his ordinary life without any complete examination, save that the urine will be examined for casts. These being absent, the blood will be considered as of little moment. In a few months the haema turia will return, to be stopped once more by similar treatment, and so on for a year or two, until the prime cause of the haematuria will disclose itself, when too late for curative treat ment, as an inoperable tumour of the bladder or kidney, or as a stone that has completely destroyed the kidney in which it lies buried.

A better way is to look upon haematuria as a warning that something is seriously amiss with the urinary organs. Haematuria asks a question that requires an early answer. What is the underlying cause of the haematuria? Is it a tumour, a stone, an enlarged prostate, a nephritis, a blood disease, and so forth The practitioner should not rest quietly until he has satisfied himself as to the prime cause, and as to whether an early operation is urgently required.

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