This historic book may have numerous typos and missing text
Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1858 edition. Excerpt: ...or in the urethra, or from paralysis of the muscular coat of the bladder, rendering the individual unable to discharge the urine after it is secreted. Inability to urinate is mostly accompanied by more or less pain, in some instances of the severest character, and is therefore not very liable to be overlooked or mistaken. The full and round tumor that can usually be felt, especially in spare persons, immediately above the pubis, with the absence of evacuation, even if there is no pain, will generally suffice to determine the true character of the difficulty. But in very fleshy persons, or in a tympanitic state of the bowels, the distended bladder will be less readily detected. Yet in this case, percussion will be found to yield very little sound, and it may thus be determined. It may however be rendered more difficult to determine by dropsy of the abdomen; but in this case, pressure on the bladder will be productive of pain and uneasiness that are not present in ascites. If any doubt still exists, the introduction of the catheter will soon settle it. The accumulation becomes so great, in some cases, as to distend the bladder far up into the abdomen, producing serious inconvenience, and often great pain and suffering. In some cases it is said the distended bladder has been mistaken for ascites. This, like the other form, may be produced by mechanical obstruction, but unlike the other is sometimes produced by spasm of the neck of the bladder, or by palsy of that organ. It is sometimes produced temporarily by a stone lodged in the neck of the bladder, but more frequently by stricture either at the neck of the bladder, or in the urethra. But, in some instances, it comes suddenly from cold or other exciting causes, producing irritation and...