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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c characteristics. Pus Shreds (Fig. 75).—These are dense, heavy opaque, yellowish-white, often thick and shaggy, usually short and friable. They tend tosink readily to the bottom of the vessel. Microscopically, they consist ofinnumerable pus-cells, closely packed in a scarcely visible matrix ofhomogeneous character, and contain singly or in small groups epitheliafrom the urethra. The latter may be normal or they may be in a state of 1 See Saxe, A Study of Shreds in the Urine in their Relation toDiagnosis and Prognosis, New York Med. Jour., March 2, 1907. URETHRAL SHREDS 321 hyalin degeneration. In this case, the writer has found them to stainquite differently from normal epithclia, with polychrome blue (Fig. 76).They stain diffusely without chromatic distinction between nucleus andcell body, and are markedly more reddish than normally staining urethralcells, which show deep purple nuclei and pale bluish-violet cell bodies.For a fuller description of urethral epithelia, see page 294.
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Fig. 75.—Pus shred, showing pus, epithelia, and strands of matrix (X333)- Mucopus Shreds.—These are longer, more wavy or twisted, very ir-regular in shape, thinner, more translucent, grayish white, and showfaint whitish longitudinal streaks and occasional large opaque nodes.One of their ends may curl up into a knob, causing them to resemble com-mas. Microscopically (Fig. 76), they consist of the same elements as thepus shreds, save that the homogeneous mucoid matrix is much more abun-dant, while the pus-cells are fewer in number and appear in scatteredgroups. Some of the pus-cells are fragmented, showing the beginning ofdisintegration. The epithelia vary in number and may be so numerous 322 EXAMINATION OF THE URINE as to justify the name epitheliomucous shreds. They show the samechanges as those found in pus shreds. Mucous Shreds.—These are the lightest of all urinary shreds andpersistently float at or near the surface of the fluid. They are long, thin,almost transparent, with f

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