On malpositions of the kidney / by David Newman.

Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: On malpositions of the kidney / by David Newman. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    and followed by burning pain in epigastric region, sickness, retching, and diarrhoea. Great general emaciation. Right kidney fixed by operation (nephroraphy). Left kidney kept in position by abdominal bandage. Symptoms due to movable kidney—vomiting, sickness, loss of appetite, and pain entirely disappeared; and operation wound healed in ten days. Patient able to walk about, general health greatly improved. [The symptoms arising from the mobility of the kidney disappeared immediately after, and have not occurred since the operation, three months ago.] Case II.—Mr. 0., set. 49. Patient was at one time very stout, but has now emaciated considerably. He suffers from chronic bronchial catarrh, attended with muco-purulent expec- toration. Slight emphysema, but no bronchiectasis. Mobility of right kidney (caused by fall on left side), is associated with sickening pain, vomiting, and diarrhoea, and occasional suppres- sion of urine, due to strangulation of renal vessels. Patient directed to use a broad abdominal bandage ; symptoms greatly relieved as long as the bandage is worn. Case III.—Mrs. M'D., ret. 43, enjoyed good health till birth of last child. She has had nine children and two miscarriages in fourteen years. Pain in right side, first noticed six months after the birth of her last child; at the same time she became conscious of the presence of a movable tumour in right renal region. After some time the pain became aggravated; almost continual in right lumbar region, increased during menstru- ation, but becoming very severe at other times independently of ovulation. At these times symptoms of obstruction to excretion of urine are present—increase in the size of tumour, followed by symptoms of uraemia, viz., dimness of sight, severe and persistent headache, lethargy, with or without occasional paroxysms of excitement, nausea, and vomiting. Suppression of urine is followed first by excretion of a small quantity of con- centrated urine, and afterwards by a copious flow of urine of a low specific gravity. The attacks co-existing with menstru- ation are characterized by pain of a dull dragging character, and slight dyspeptic symptoms, such as loss of appetite, sick- ness, occasional vomiting, and sometimes diarrhoea. In Feb. 1883 (sixteen months after kidney became loose), the movable kidney was observed to be diminishing in size, and small quantities of albumen, and hyaline and granular tube casts were found in the urine. Increased anaemia, emaciation and derangements of digestive organs were complained of. Attacks of pain more frequent. Patient urgent for an oper- ation to be performed for her relief. Question raised as to