The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; translated by Gardner W. Allen.

  • Ultzmann, Robert, 1842-1889.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; translated by Gardner W. Allen. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    offers sometimes such characteristic conditions that an exact knowledge of them materially aids in diagnosis. First of all it is to be no- ticed that patients who are affected with neu- roses not infrequently suffer at the same time with polyuria. They urinate often, yet have no pain or inconvenience except that they have to produce so much urine. The urine of polyuria is of a pale straw color, and clear, with a low specific gravity (urina spastica, nervosa, diluta). Yet sometimes there is a great quantity of urine without the specific gravity of the urine being diminished in a corresponding proportion. In this case there is at the same time an increased excretion of solids, a diabetes insipidus. This I have observed in a 13-year-old anemic and excitable boy, who daily passed 7 litres of color- less urine, almost as clear as water, of which the specific gravity was 1.005. The 24-hour quantity of solids amounted to 81 grammes. The patient was always thirsty, and was at any time ready to pass 400 or 500 c.c. of urine. Sugar was not present. It has been known since Claude Bernard that a puncture in the floor of the fourth ventricle, and, indeed, in a small circumscribed spot be- tween the origin of the vagi and that of the acoustic nerves, produces polyuria, and at the same time glycosuria. It has also been found that certain changes in the central nervous sys-