File:A system of genito-urinary diseases, syphilology and dermatology (1893) (14741266296).jpg

Identifier: systemofgenitour01morr (find matches)
Title: A system of genito-urinary diseases, syphilology and dermatology
Year: 1893 (1890s)
Authors: Morrow, Prince A. (Prince Albert), 1846-1913, ed
Subjects: Skin Syphilis Genitourinary organs
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ghts disease : pain in the loins, occasional hsematuria, the m-ine sometimes scanty and bloody,sometimes pale, light, albuminous, andabundant; hypertrophy of the heart.When the destruction of the kidney-tissue is sufficiently advanced ursemicsymptoms appear. Occasionally thetumor is recognized on palpation. Diagnosis.—The diagnosis mightbe made by recognition of enlarge-ment of both kidneys with lobulationof the surface, the changes in the urineindicative of nephritis, and oedemalimited to the lower limbs and de-pendent upon pressure made by thekidney upon the large abdominal veins.Prognosis and Treatment.—The prognosis is grave, because of theinevitable ultimate destruction of thekidney, and the possibility that anyalmost indifferent intercurrent causemay lead to a fatal uremic outbreak;but it is somewhat mitigated by theslow progress of the disease.No surgical treatment is possible if both kidneys are involved, or desirable in the exceptional cases in which only one is diseased.
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14.—Polycystic de^neration of thekidney. (LeDentu.) 3. HYDATID CYSTS. Although hydatid cysts of the kidney have long been known, the firstattempt to collect and analyze the scattered cases was made in 1861, byBeraud, in a graduating thesis. He collected 41 cases, Y of which had notbeen published. Roberts, of Manchester, collected 63; and quite recently(1887) J. Boeckel (Etude sur les kystes hydatiques du rein) added 20 new-cases to the list. Compared with those of other organs, hydatid cysts of the kidney arerare: 30 cases in 566 collected by Davaine, 80 of 983 collected by Neisser.Beraud found tlie left kidney more frequently affected than the right, and,although some of the subsequent statistics have reversed this predominance,it has been re-established by the latest and largest. Occasionally, but veryrarely, the other kidney or another organ is simultaneously affected. HYDATID CYSTS. 821 The cyst may form immediately beneath the capsule or deep in thekidney-tissue ; and it may no

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