An inaugural dissertation on stone in the bladder : submitted to the public examination of the faculty of physic under the authority of the trustees of Columbia College, in the state of New-York, the Right Reverend Benjamin Moore, D.D. president ; for the degree of Doctor of Physic, on the 13th day of November, 1810 / by Henry U. Onderdonk, A.M. member of the Royal College of Surgeons, London.

  • Onderdonk, Henry U. (Henry Ustick), 1789-1858.
Date:
1810
Catalogue details

Licence: Public Domain Mark

Credit: An inaugural dissertation on stone in the bladder : submitted to the public examination of the faculty of physic under the authority of the trustees of Columbia College, in the state of New-York, the Right Reverend Benjamin Moore, D.D. president ; for the degree of Doctor of Physic, on the 13th day of November, 1810 / by Henry U. Onderdonk, A.M. member of the Royal College of Surgeons, London. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Agitation greatly increases the pain from a stone^ Riding in a carriage or on horseback will occasion excruciating torture, and not unfrequently cause the urine to be tinged with blood. If the bladder be particularly irritable, the mere change from a stand- ing to a recumbent posture will give pain. These symptoms do not take place in enlarged prostate, and may serve as distinctive marks between the two diseases. When the pain is very violent, there is often a sense of weight in the rectum, with a frequent de- sire to go to stool. Sometimes there are prolapsus ani, and piles. Incontinence of urine is also enu- merated as a symptom. This probably arises from the relaxation of the sphincter of the bladder, in consequence of an irritation in its general muscular coat. It may also arise from the stone being so large, as nearly to fill the whole cavity of the bladder, and thus leave no room for the accumulation of urine, which will necessarily be constantly passing off. I have assisted in the examination of a patient, who died under the latter circumstances. The urine is sometimes limpid, commonly it has a wheyey appearance, probably from the quantity of mucus it contains, and which it deposits in the form of sediment. This increased quantity of mucus is secreted, as a defence to the bladder from the irri- tation of the stone. After violent exercise, blood is mixed with the urine. Mucus, speckled with blood, is deemed an unequivocal symptom. A gravelly deposit is also common: it may be either the uric acid precipitated in the vessel, or a gravel of the phosphates. When the complaint has proceeded to a violent