Publisher's Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1870 edition. Excerpt: ... PAKT II. CHRONIC NEPHRITIS--CHRONIC ALBUMINURIA. Group II. Renal diseases non-inflammatory--without primary symptoms of inflammation.--Urine albuminous, rarely purulent. Sediment containing specific microscopic objects--Diagnostic casts of the uriniferous tubes. Diseases chiefly characterized by evidence of degeneration of the glandular, the vascular, or fibrinous structures of the kidneys-- granular, fatty, fibrinous, waxy, or amyloid. Some of this group associated with, or even arising from passive engorgement of the kidneys from obstructed circulation through the heart, lungs, or liver; more or less of dropsy accompanying them. CHAPTER IV. Chronic Albuminukia. The following four varieties of post-mortem conditions represent the structural changes of the kidneys in the group of diseases designated chronic albuminuria or chronic morbus Brightii. I. The small, red, contracted, granular kidney. The cirrhotic kidney of Dr. T. Grainger Stewart and Dr. Harley. II. The large granular fatty kidney. III. The amyloid kidney. IV. The atrophic, contracted, nodular, gouty kidney. Before proceeding to describe in detail the anatomical characters of these varieties, I deem it desirable that the student should understand the ground on which this arrangement is based, and the reason why a distinction is made between the red contracted granular kidney and the atrophic contracted nodular kidney, which are by many writers recognized as one and the same. The first variety is sometimes called the cirrhotic, and sometimes the gouty kidney. It is, doubtless, frequently met with in patients who may have had gout; but it is as frequently, perhaps more frequently, seen in those who have not. When it occurs associated with gout it is also connected usually with...