Clinical lectures on cases illustrating renal surgery : delivered at University College Hospital / by Arthur E. Barker.

  • Arthur E. J. Barker
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on cases illustrating renal surgery : delivered at University College Hospital / by Arthur E. Barker. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    small vegitations on the aortic, and some larger ones on the mitral, valves, otherwise nothing abnormal. The lungs and pleurae were fairly healthy, showing no tubercles. The liver was healthy. The spleen was enlarged and markedly amy- loid. The left kidney was much enlarged and notably amyloid, the cortex being fatty and increased in depth. The right kidney, which had been operated on, was firmly adherent to its surroundings, including the caecum and ascending colon. It was hollowed out into several rough tuberculated spaces, into one of which the lumbar wound entered, and all its secreting substance seemed destroyed. The uterer was also rough and lumpy. This kidney con- tained some greenish pus, but no calculus. The renal vein was filled with a soft cheesy thrombus, which extended into the vena cava upwards nearly to the heart, and downwards for about three inches. A sufficient explanation of the gravity of this case from the first is furnished by these notes without further com- ment. .
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