=Osteopathic Etiology.=—Congestion and acute inflammation of the
kidneys, exacerbations of pyelitis, renal calculi, chronic nephritis,
traumatism, tuberculosis, etc.; affections of the urinary tract, as
calculi or lacerations of the ureter; calculi, cystitis, ulcerations,
etc., of the bladder; calculi, gonorrhoea, parasites, etc., of the
urethra; general diseases, chiefly the acute specific fevers and blood
diseases; blows, wounds and traumatic influences, external to the
kidneys; lesions of the renal splanchnics.
=Diagnosis= of the locality of the hemorrhage in the urinary tract:
In hemorrhage from the =kidney= the blood is thoroughly mixed with
the urine, giving a uniform color. Blood casts and leucocytes are
present. In hemorrhage from the =ureters= the blood is usually molded
in clots which conform to the shape of the ureter. The clots appear
like small dark worms. In hemorrhage from the =bladder= the blood is
not thoroughly mixed with the urine and large clots form upon standing.
In hemorrhage from the =urethra= the blood often discharges without
micturition. When urine is passed the blood precedes the passage of
urine.
=Treatment.=—Rest is essential. A correction of the lesions to
the renal splanchnics is necessary to control the congestion and
inflammation of the kidneys. When the ureters, bladder or urethra is
involved, attention must be given to the condition of the spinal column
below the renal splanchnics. In all cases the inhibitory treatment to
the lower spinal column and ice to the loins are of value. If surgery
is indicated, do not delay operation.