On the Origin and Progress of Renal Surgery Being the Hunterian Lectures for 1898; Together with a Critical Examination of Subparietal Injuries of the

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. 1898 edition. Excerpt: ...also contain pus as well as blood, and renal casts and epithelium, and yet be deficient in the normal urinary solids. In certain cases, as in those recorded by Paget and Weber, polyuria occurs, and retards the appearance of uraemic phenomena as well as the fatal termination, which, however, at length arrives just the same. In Paget's case polyuria occurred on the thirteenth day, and death was deferred till the twenty-second day. In Weber's case a succession of remissions of polyuria took place, and the fatal result was not reached till the thirtieth day. In one of Roberts' cases the patient lived fifteen days. Tenneson (Gaz. Hebd0m., 1879) reported a fatal case in which the suppression lasted fifteen days. Dr. Ernst Bischoff reported the case of a man at fifty-eight, who for fourteen years had suffered from gout and lithiasis; he had had repeated temporary suppression for several days together; then twenty-three days of anuria, with two very slight intermissions on the fifth and fourteenth days, attended by oedema, fever, and aphthous stomatitis and very high temperature. The post-mortem showed a very small left kidney, but in a state tending towards compensatory hypertrophy, with calculi in both ureters and in the left renal pelvis. In one of my own cases there were two periods of complete anuria for forty-eight hours or more, with intermissions, during which there was a more or less free secretion for eleven days; then three days when the daily secretion was 10 ounces, 6% ounces, and 1 ounce respectively; and lastly, four days of complete suppression preceding death on the eighteenth day from the onset of the anuria. In the stage of tolerance, though the general health is at-first but slightly if at all affected, yet...