Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![and tubular portions being less marked than under ordinary circumstances. The investing- membrane of the kidney had a very slight adhesion to the kidney itself, but it adhered very closely to the adipose substance of the loins. On the surface of each kidney, and partly imbedded in its substance, were four or five membranous cysts, each of the size of a large pea; and in one of them there was a similar cyst, but as large as a nutmeg, completely imbedded in the cortical substance. The pelvis, infundibula, and ureters were not more capacious than under ordinary circumstances : but on their being slit up, their internal surface presented the ap- pearance of considerable inflammation.—Brodie. 7. Tuberculous disease, occurs in two forms ; in one the tuberculous matter is deposited in spherical masses in the cortical substance of the kidney [x. 50.] ; in the other it lines as an exudation the mucous surface of the infundi- bula, pelvis, and ureter, and is commonly combined with dilatation of the cavities of the kidney and expansion of its cortical substance, [x. 5J.] 8. Fungus hcematodes of the kidney is unfrequent. The gland affected enlarges indefinitely ; hsematuria is generally present. The countenance in the latter stages exhibits the striking expression which inward mahgnant disease usually gives rise to. 9. Calculi in the kidney are found either as small frag- ments impacted in the tubuli uriniferi, or part in a tubulus part projecting into an infundibulum, or as larger masses free, or by their figure fixed in the infundibula, or in the branches of the pelvis, or in accidental dilatations of the cavities, [x. 60. 61.] In diseases of other organs, the local or sympathetic pain, and the attendant fever, are the prominent symptoms : but all diseases of the kidneys are liable, while many are certain, to produce pain in the loins, in the course of the ureters, and in the bladder, in the spermatic cord and testis ; and fever without diagnostic local symptoms is of little use to the pathologist. One striking relation of renal disease has, however, been observed and recently described by Mr. Stanley, in the 18th](https://iiif.wellcomecollection.org/image/b21066735_0556.jp2/full/800%2C/0/default.jpg)
