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CASES ILLUSTBATim THE TREATMENT. 157
to drive out, the same precaution being taken about the foot as
when she was sitting in her room.
During the first weeks the treatment was given twice a day.
XXV. CYSTITIS.
Mr. L. E., 30 years of age, had for several months been
troubled with a slight gleet. In order to get rid of it quickly,
he had recourse to a 1 per cent, injection of nitrate of silver, which
he had heard would produce an immediate cure. He used the
injection so carelessly that a part of it passed into the bladder.
This caused him extreme discomfort ; so much so, that he was
compelled to remain completely quiet for over an hour after its
application.
It was a very warm summer day, and the patient in the
afternoon took some ices. He very soon began to shiver, went
home, and repaired to bed, where he was obliged to remain
three days. Fever, vomiting, intense irritation of the bladder,
pain in the perinreum and lower part of the back and sacrum,
set in. His appetite entirely left him, and he could only
drink acidulated water, and take fluid food ; there were con-
stant calls to empty the bladder, which were accompanied and
followed by intense irritation and a desire to void the urine
though the bladder was empty. He had very little sleep at
night.
On the fourth day, September 3rd, 1888, when he came for
treatment, the above symptoms had slightly subsided. He looked
worn and haggard, suffered from a feeling of great prostration,
and bitterly repented having tried to work his own cure. He had
no fever ;
the appetite had so far improved that he could take
very light food. Walking was exceedingly disagreeable to him,
as also driving, because both set up irritation in the bladder.
The urine deposited pus, mucus, triple phosphates of ammonia
and magnesia.
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