Medical Review of Reviews Volume 9 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ...is almost invariably excited or increased by severe exercise. This becomes more evident if the patient is employed in a sedentary occupation. 5. Haematuria following an attack of renal colic is very characteristic of calculus, especially if the colic follows severe exercise. Colic frequently occurs without haematuria and haematuria without colic. 6. Haematuria dependent upon cal-cuius quickly subsides with rest in the horizontal position. Being commonly caused by the wounding of vessels through the movement of a calculus-within the kidneys, or by the movement of the kidney itself when containing a stone, rest in bed contributes in this more than in other conditions to the rapid subsidence of the haemorrhage. III. FREQUENT MICTURITION. Frequent micturition may be met with in association with renal calculus, but it is by no means constantly present, and it would appear to be due more often to conditions secondary to the stone than to the reflex effect of the calculus itself. Urine loaded with deposits of phosphates or lithiates may also be" found in association with renal calculus and these deposits rather than the presence of the stone are the probable cause of the frequent micturition. 1. Frequency in micturition may even give place to extreme tolerance. 2. Extreme irritability of the bladder and painful micturition felt in the perineum may be caused by a stone impacted in the ureter. 3. Frequent micturition, sudden uncontrollable desire to pass urine, and incontinence may be met with in children from the presence of a stone in the kidney. IV. THE PASSAGE OF SMALL CALCULI OR GRAVEL ON PREVIOUS OCCASIONS. The passage oi small calculi or gravel on previous occasions is perhaps the most important information that can be obtained from the former history of...