A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy Volume 2
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A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy Volume 2

A Text-Book of Practical Medicine; With Particular Reference to Physiology and Pathological Anatomy Volume 2


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: SECTION II. DISEASES OF THE PELVIS OF THE KIDNEYS AND URETERS. CHAPTER I. DILATATION OF THE PELVIS OF THE KIDNEY, WITH ATROPHY OF THE RENAL SUBSTANCE?HYDEONEPHROSIS. Etiology.?Whenever the flow of the urine, through the ureters, into the bladder, becomes permanently obstructed, the urine accumulates in the pelvis and calyces of the kidney. If the pressure of the urine within the pelvis of the kidney be very great, the openings in the. tubuli recti and papillae are closed, and the papillae themselves become compressed. The urine then ceases to flow from the kidney into it pelvis, and distention of the latter would progress no farther were it not that the pelvis and calyces possess a mucous membrane, and still continue to produce mucus, which is mingled with the accumulated urine. Hence more and more liquid collects in the renal pelvis, distending the latter, till finally the pressure flattens out the papillae, and induces a gradual atrophy, which may terminate in the total loss of the substance of the organ. Closure of the ureter may proceed from the impaction into it of a stone. Far more frequently, hydronephrosis depends upon compression of the ureter by a tumor, or by a callous contracting cicatrix in the peritonaeum which covers it, or by a growth, especially by a cancer, of the subperitoneal connective tissue. In other cases, closure of the ureter is the result of inflammation, which has induced swelling of its mucous membrane, or adhesion of its walls. The lower and the closer to the bladder the obstruction is, so much the larger is the portion of ureter which takes part in the dilatation. Moderate degrees of dilatation of the uriniferous apparatus sometimes arise from an impediment to the discharge of urine, which existsin the urethra or bladder, but, in su...


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Product Details
  • ISBN-13: 9780217430104
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 398
  • Spine Width: 21 mm
  • Width: 189 mm
  • ISBN-10: 0217430104
  • Publisher Date: 09 Jul 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 708 gr


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