7. =Urethra.= Mucosa should be grayish-red, smooth, shining and
transparent. The most common and important pathologic condition
is gonorrhœa (acute, chronic, anterior, posterior, erosions,
ulcers, abscesses, perforation, stricture, periurethral abscess,
cavernitis, etc.). Non-gonorrhœal urethritis is rare (colon- and
influenza-bacillus, streptococcus, pneumococcus, etc.). Trauma
(crushing, laceration, perforation, urine-infiltration, hæmorrhage,
periurethral abscess, phlegmon, gangrene, stricture, urinary fistula,
etc.), soft chancre, hard chancre, secondary and tertiary syphilitic
lesions (gumma), tuberculosis (lupus), leprosy and neoplasms
(rare: adenoma, carcinoma, melanotic and round-cell sarcomata
[lymphosarcoma], fibroma, angioma) may occur. The most common
anomalies are hypospadias and epispadias.
8. =Bladder.= _Size_, _degree of distention_, _amount_ and
_character of contents_, _character_ and _color of mucosa_ (normally
gray-red, smooth and transparent), _muscle-coats_ (hypertrophic,
atrophic). The most common pathologic conditions are: anomalies
(ectopia, ecstrophia, vesica bipartita, vesica bilocularis,
diverticula), congestion, œdema, cystitis (acute and chronic
catarrh, cystitis granulosa, cystica, purulent, phlegmonous,
diphtheritic, emphysematous, interstitial, peri- and paracystitis,
erosions, ulcers, gangrene, malakoplakia), tuberculosis, dilatation,
trauma (rupture, perforation, fistula), neoplasms (papillary
fibro-epithelioma, carcinoma, adenoma, myxoma, myoma, rhabdomyoma,
angioma cavernosum, sarcoma, dermoids, secondary carcinoma [usually
from prostate], and sarcoma [melanotic sarcoma]), concretions
(urates, uric acid, oxalates, phosphates, carbonates, cystin and
xanthin), and parasites (filaria sanguinis, distomum hæmatobium,
echinococcus, trichomonas, ascaris and oxyuris).
=II. FEMALE PELVIS.= =1. Rectum.= Note same things as given above
for the examination of the rectum in the male. Gonorrhœa, stricture
due to syphilis and traumatic fistula (due to child-birth) are more
common in the female.
2. =Vulva.= The most important pathologic conditions are:
congestion, œdema, hæmorrhage, hæmatoma, trauma (laceration),
vulvitis (catarrhal, gonorrhœal, chronic, diphtheritic, gangrenous,
phlegmonous, ulcerative, abscess), erythema, eczema, herpes, acne,
furunculosis, pruritus, kraurosis vulvæ, leukoplakia, Bartholinitis,
retention-cysts, cysts of the glands of Bartholin, hydrocele
muliebris, syphilis (primary, secondary and tertiary lesions),
tuberculosis (lupus), elephantiasis, condylomata, neoplasms (lipoma,
fibroma, lymphangioma, papilloma, fibromyxoma, fibromyoma, chondroma,
neuroma, carcinoma [usually very malignant in type], sarcoma [rare]
and metastatic tumors [very rare]).
3. =Urethra.= Same conditions as noted above for the male. Small
polypoid granulomata (caruncles) are very common; usually gonorrhœal
in origin. Primary carcinoma is more common in the male.
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