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Article
May 20, 1905

PRIMARY TUBERCULOSIS OF THE BLADDER.

Author Affiliations

NEW YORK CITY.

JAMA. 1905;XLIV(20):1615. doi:10.1001/jama.1905.92500470043003c

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Abstract

Patient.  —N. K., stock broker, aged 36, was referred to me for cystoscopy and possible catheterization of ureters on account of frequent micturition during the past two years. Previous history is negative.

History.  —About two and a half years ago the patient experienced a frequent desire to micturate by day, which was temporarily relieved by medicine and bladder irrigation. About four months ago, he suddenly developed epididymo-orchitis, which partially subsided in four weeks.

Examination.  —I first saw the patient Nov. 9; 1904. His urine was turbid. After thorough irrigation of the bladder, I injected boric-acid solution and inserted a cystoscope, with two catheters attached. I found a sore as large as a five-cent piece at the apex of the trigonum, a smaller one about one-half inch to the left, and a number of disseminated tubercles on either side of the trigonum.

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