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August 4, 1888


JAMA. 1888;XI(5):163-164. doi:10.1001/jama.1888.02400570019002

Diagnostic Value of Inspection of the Ureters in Symptomless Hæmaturia and Pyuria.  Mr. E. Hurry Fenwick says: In the exploration of the bladder with the electric light it is necessary to have some such starting point in order that the examination may be systematic, rapid and effective. The most important section of the bladder, speaking cystoscopically, is the inferior zone, and the cardinal points in this area are the orifices of the ureters. Upon them the operator should first direct the light, and from them the search should radiate. There are several reasons for this choice. From the orifices of the ureters may be seen to issue fine jets of renal blood in kidney bleeding, the semivividness of which may prove fallacious (without the cystoscope) in the diagnosis of the source of symptomless hæmaturia. Upon their lips or in their immediate neighborhood are most often to be found those