Scientific American Supplement, No. 648, June 2, 1888.Various
Science
Scientific American Supplement, No. 648, June 2, 1888.
Various
Science -- Periodicals
This case is deserving of especial interest as being the first tumor of
the bladder diagnosticated in this country by means of the cystoscope, and
verified by subsequent operation, and adds one more to the list of
sixteen cases so made out by foreign observers, and two by Dr. Fenwick, of
England. In this instance the instrument deserves particular credit, as
other methods had completely failed in the practice of competent
observers.
This consists of a metal tube, about seven inches long, of a caliber of 22
French, having at the proximal end a funnel shaped ocular opening; at the
distal, a short beak, similar to that of the catheter coudé. A window of
rock crystal is set in the end of this beak, behind which a small electric
lamp, controlled by a switch at the ocular end, is placed. A rectangular
prism, the hypothenuse plane of which is silvered, is placed in the end of
the straight portion of the tube, its superior face being seen just
anterior to the angle formed by the beak. The distended bladder is
illuminated by the electric lamp, the rays reflected from its wall falling
on the prism experience total reflection, an inverted image being formed
within the tube. The size of the field thus obtained is greatly increased
by means of a telescope introduced into the tube. The image seen through
the cystoscope is an inverted image, but right and left are not
transposed.
[Illustration: THE CYSTOSCOPE.]
There can be no question as to the great prospective value of the
electro-cystoscope in diagnosis of many difficulties to which the bladder
is subject. A variety of foreign bodies have already been reported as made
out by use of this instrument. The locality, size, and color of vesical
calculi have been demonstrated in my own experience. In one instance two
stones were seen where only one had been previously found, but this of
course might with care have been effected by means of the lithotrite. But
it is in the diagnosis of the tumors, and encysted or impacted calculi,
that the most essential service may be anticipated from the use of the
cystoscope. The orifices of the ureters are quite readily brought into the
cystoscopic field, and it is more than probable that (perhaps through the
introduction of some clear fluid with which blood does not readily
mingle--glycerine, for instance) the true source of a previously doubtful
hæmaturia will be demonstrated.--_Medical Record._
DISTANCE AND CONSTITUTION OF THE SUN.
So many queries about the solar system, or the members of it, have come
recently to the attention of those in charge of this journal, from various
sources, that it is thought best to make a brief statement of the present
state of knowledge that astronomy has of the solar neighborhood in which
we live.
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