Identifier: examinationofu00saxe (find matches)
Title: Examination of the urine; a manual for students and practitioners
Year: 1909 (1900s)
Authors: Saxe, George Alexander De Santos, 1876-1911
Subjects: Urine
Publisher: Philadelphia and London, W. B. Saunders Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 73.—Vesicular cast, showing the characteristic concentric arrange-ment of the spermatozoa and the lobulation, (f obj. Eosin-methylene-blue.) fragmented masses of secretion from parts of the vesicle wThere there werefew or no spermatozoa—i. e., probably from the fundus of the organ. The vesicular skins are fine, translucent or slightly opaque, whitishpellicles, often presenting an appearance of hollow shells, like the thinshells of lemon seeds, grouped in masses. When removed from the urinethey collapse into viscid shreds. The skins are probably composed ofinspissated or thickened vesicular secretions which have lain for a consid- 3i8 EXAMINATION OF THE URINE erable time in the vesicles, and which have been stripped by massage.Microscopically they contain the same elements as the sago bodies, butdensely packed and mixed with ropy mucoid material. Vesicular casts are moulded forms of vesicular contents (see Figs.72-74) which may be grouped in grape-like masses or may occur
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Fig. 74.—Gonococci and streptococci, epithelia and pus-cells, in stainedsmear from a vesicular cast (Grams stain: X960). in elongated, sausage-like forms. They are semi-opaque, whitish, andare easily seen with the naked eye. Microscopically, they present alobulated border, with concentric layers of spermatozoa in dense massesat the edges and numerous spermatozoa in the central portions (Fig. 73).They may contain gonococci, staphylococci, streptococci, etc., in vesiculi-tis due to these germs (Fig. 74). URETHRAL SHREDS 319 Vesicular shreds are often of large size and look like pieces of egg-membrane. They consist of a mucoid matrix in which are imbeddedmany spermatozoa, vesicular epithelia, and pus-cells. They often containbacteria. Clinical Significance.—A careful study of the clinicalsignificance of these bodies showed that the sago bodies,the sugar granules, and the skins may occur withoutany vesicular inflammation. They may be present innormal individuals who are relatively sex

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