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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1908 Excerpt: ... admitted to bed. If the quantity of residual urine be large, only about half should be drawn off on first introducing the catheter. The quantity removed should be increased at each subsequent introduction, and the bladder not completely emptied for two or three days, during which the patient should be under close observation. If he be too infirm or nervous to pass the catheter himself, an experienced nurse should be employed for this purpose. Urinary Fever in connexion with Catheterism. In an advanced case of prostatic disease of this kind the urine, even when clear and acid on the first introduction of the catheter, generally becomes clouded, and eventually ammoniacal, in the course of a few days, and constitutional symptoms supervene. A rigor will probably occur, or even without this the temperature may rise to 103 or 104 F., profuse perspiration sets in, and, the normal temperature being reached, the fever may not recur. Sometimes more than one attack of this kind occurs, or the fever may be of a continuous character for some days, gradually subsiding; but occasionally the patient sinks into a low typhoid state, with dry, furred tongue, feeble pulse, and great thirst; and if the kidneys are much affected, uraemia, followed by coma, may set in, resulting in a fatal termination. This fever is variously termed ' urinary,' 'urethral,' and 'catheter,' but its exact cause--whether septic or neurotic--it is impossible with our present knowledge definitely to state. Certainly it occurs under the strictest antiseptic precautions and with the utmost skill in passing the catheter. The general treatment of this fever is similar to that following instrumentation or operation for stricture of the urethra, except that, owing to the advanced age and debility of the pati...
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