Identifier: practicaltreatis1879robe (find matches)
Title: A practical treatise on urinary and renal diseases : including urinary deposits
Year: 1879 (1870s)
Authors: Roberts, William, Sir, 1830-1899
Subjects: Urine Urinary organs Kidneys Kidney Diseases Urinary Calculi Urinalysis
Publisher: Philadelphia : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
irregularly. Somethree months previously she had been under his care for neuralgia andanaemia, which yielded readily to quinine and iron. Since then she hadbeen in her usual fair health up to the previous Monday, when she wassuddenly attacked with vomiting. The vomiting continued, almost inces-santly, during the current week, and no urine had been voided sinceTuesday. Early on Saturday morning, she was seized with an epileptic * Path. Soc. Trans., vol. xxi., p. 244. ILLUSTRATIVE CASES. 5i3 fit; this was succeeded by two more in the course of the day. At noon,about six ounces of urine were withdrawn by catheter. This was ofnormal appearance, but it contained a moderate amount of albumen. When I saw her in the evening, the vomiting still persisted, accompaniedwith devouring thirst. The patient was nearly fully conscious. There wasgreat restlessness, with tossing of the limbs and moaning. The bowelshad been opened by injection. The pupils were strongly contracted, andthe tongue was dry.
Text Appearing After Image:
Fig. 65. Left kidney of Mrs. S.—showing complete cystic transformation of theorgan—abont one-half the actual size. On examining the loins, I detected two soft elongated swellings ortumours, one on each side in the renal regions. The tumours appearedabout the same size, and might be about as large as a cocoa-nut, but of L L 514 CYSTIG DEGENERATION OF THE KIDNEYS. greater length. They did not fluctuate. Both flanks were dull on per-cussion. I ventured to express the opinion that we had to do with cysticdegeneration of the kidneys, basing the diagnosis on the ureemic com-plexion of the symptoms, the existence of two soft renal tumours withalbuminuria. If this diagnosis were correct, there could be no questionof curative treatment. It was suggested, however, that the lumbarswellings might possibly consist of faecal accumulation. The treatmentwas accordingly directed to remove these. Sulphate of magnesia enematawere ordered to be repeatedly administered, and belladonna in pill wasgiven

Note About Images