The Clinical Manifestations and Treatment of Coliuria in Children

In adults coliuria is an obvious and common complaint, which is chiefly interesting by reason of the difficulty in establishing a lasting cure, but I do not suppose that there is any affection of childhood in which one is so frequently led astray. In adults one may say that one's attention is almost always drawn to the urinary tract, and that in consequence one obtains a sample of the urine and at once the diagnosis is plain ; but in children there may be, and quite often are, no urinary symptoms, and although routine examination of the urine ought theoretically to be carried out, everyone knows how extremely difficult it is to obtain an uncon-taminated sample from the infant and young child, especially in the female sex. For these reasons the diagnosis is often very difficult, and the condition is missed over and over again. When one comes to examine the clinical manifestations , one is at once struck by the fact that they present a confused heterogenous group of symptoms, some of which are exhibited by one case and some by another, and I propose to try to arrange these symptoms into groups, so that one