A Handbook of Medical Pathology; For the Use of Students in the Museum of St. Bartholomew's Hospital - Softcover
Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1894. Excerpt: ... SECTION XV. DISEASES OF THE KIDNEY. Malformations. 1. Absence of one kidney. 2. Horseshoe kidney. 3649, and many others. The isthmus connecting the kidneys may be either glandular or fibrous tissue. 3. Double ureter. 2367, 2368a, 2369a. Malposition. Movable (Floating) Kidney.--The kidney is turned so that its long axis is antero-posterior. It rarely has a meso-nephron, but the whole peritoneum is loosened over it. Post-mortem this condition is much rarer than it is in life, probably because the supine position tends to keep the kidney in its proper place, and the structural alterations of the peritoneum are really so slight as to escape notice. Atrophy. 1. The kidney sometimes develops imperfectly, being smaller, and perhaps having fewer pyramids, than usual. 3666a. 2. Kidneys become contracted--(a) From Bright's disease (vide infra). (b) From occlusion of the ureter, either by calculus or by stricture. (c) From disease of the bladder or urethra. In the first class of cases the contraction is a simple sclerotic change, due to the contraction of fibrous tissue; in the two latter the result is due partly to constant pressure, which in all parts of the body causes atrophy; partly to inflammation and subsequent sclerosis, due either to the presence of a foreign body, such as a calculus, or to Unwholesome and irritating change in the retained urine. 2361.--A kidney reduced to about one-fourth of its natural size by atrophy of its glandular substance. The ureter is obliterated at its commencement; the pelvis is as large as usual. The other kidney of the same patient was healthy in structure, but of nearly twice the natural size. In most cases the pelvis and other passages above the obstruction are dilated, and these cases will be quoted under hydronephrosis. 23...
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