Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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fices is sometimes visible, while the ureteral orificesthemselves standout on a little emi-nence which we callthe m o n s u r e -t e r i s on the sidetoward the urethra.In examiningthe mucosa of thebladder the ob-server must be care-ful to take into ac-count all of its de-tails and its ana-tomical elements.In the first place,the ground color ofthe mucosa is pale,whitish or yellow-ish, in striking con-trast to the conges-tion of an inflamedbladder. The ves-sels are seen every-where on its innersurface, suggestingat first sight theophthalmic exam-ination of the eye.The vessels of thebladder come up from the deeper portions below and divide dendritically into finer and finer ves-sels, until the whole area of the bladder is tessellated by the smaller vascularramifications and their anastomoses. In most bladders trabecula3 or prominentfolds are seen stretching from a few millimeters to a centimeter or more, andoften by their ramifications leaving the rest of the bladder between in the form
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Fig. 132.—Various Shapes Which a Soft Silk-rubber Cathe-ter Takes in Its Course up to the Kidney. A catheterallowed to stay in place a few minutes and then qui(!kly with-drawn and put on a cold plate or in a water bath will assumethe same shape it had while in the kidney. 260 EXAMINATION OF THE URINARY TRACT IN WOMEN. of little crypts or pockets. These trabeculse are formed by the inner prominentmuscular fibers from the muscular coat of the bladder. Sometimes these cryptsare deep, even forming diverticula; sometimes while under observation theyopen and close in an astonishing manner. These physiological trabeculse

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