Catalogue of the medical section of the United States Army Medical Museum / prepared under the direction of the Surgeon General, U.S. Army, by J.J. Woodward.

  • Woodward Joseph Janvier, 1833-1884.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the medical section of the United States Army Medical Museum / prepared under the direction of the Surgeon General, U.S. Army, by J.J. Woodward. 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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    No. ~t *~t. Left kidney, situated beneath bifurcation of aorta; aorta at bifurcation gives off three renal arteries, one of A. 10. which bifurcates so that four renal arteries enter substance of kidney—two at the pelvis, the others on its upper part. See 524, chap. IV., sec. 3, L. 99, for history. No. 361. Right kidney, converted into a cyst about the size of a small orange; the wall fibrous and about four lines A. 11. thick; it is connected by a patulous ureter to urinary bladder; two renal arteries the size of crow-quills proceed from aorta at point of bifurcation, and ramify upon walls of cyst; the cyst was found over second lumbar vertebra; left kidney apparently healthy, but the patieut had had albumen iu his urine. See 362, chap. IV., sec. 3, L. 70, fur history. B, Bright's disease. No. 16. Anterior half of right kidney, cortical substance considerably thickened; surface of kidney, when fresh B. 1. was light yellow, mottled by the course of the congested blood vessels ; cortical substance on section was pale yellow, thickened and streaked by the congested veins ; pyramids natural. Microscopical examination showed a granular condition of epithelium of tubuli uriniferi; many cells contained fat globules; interlobular connective tissue hypertrophied. Private E. J., 15, 109th New York, age 22. American. Admitted, January 22d, 1864, with pneumonia. February 9th, a diphtheritic appearance of throat was recognised. Died, February 11 th. Autopsy: Fauces and larynx covered with a diphtheritic layer; lower lobes of both lungs hepatized; extensive adhesions between pulmonary and costal pleurae ; both kidneys as in specimen. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 530a Left kidney, enlarged; weight, eleven ounces, when taken from body; when received at Museum, kidneys B. 2. were of a tawny yellow color, mottled on surface ; epithelium of tubuli uriniferi filled with oil drops ; con- nective tissue cells of matrix multiplying. History—(Acting Assistant Surgeon D. L. Haight): Private J. E. W., I, 10th New York Heavy Artillery. Admitted, December 24th, 1864; legs, face and eyelids cedematous. He stated that some three weeks previous to admission he had caught a severe cold by being exposed to dampness and lying on ground; within a day or two his legs began to swell, and they continued to do so until he came to hospital. He also stated that he had had syphilis, aud at date of admission his body was covered with copper-colored spots ; his urine gave, by heat aud nitric acid, an abundant deposit of albumen, and showed, microscopically, abundant casts filled with oil globules ; some blood also in urine. Died, March 1st, 1865. Autopsy : Tissues all cedematous ; abdominal cavity contained about sixteen pints of fluid ; right kidney weighed ten ounces; left, eleven ounces ; both in the condition above described. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. No. 766. Both kidneys, much enlarged ; weight of each, eight ounces ; were of a yellowish-fawn color, mottled with B. 3. reddish streaks and spots of congestion, when fresh ; epithelium of tubuli uriuiferi exceedingly granular, with numerous free oil drops. Corporal G. M., K, 195 th Ohio. Admitted, December 8th, 1865, suffering with acute rheumatism; had been under treatment at regimental hospital eight days; for two weeks previous to attack had been intoxicated most of the time; when admitted, his left lower extremity was very much swollen aud painful; left elbow and wrist tender and painful; tongue dry and dark brown; stomach and bowels irritable; abdomen tympanitic; stools frequent, light-colored and watery; pulse 100 aud weak ; skin dry ; mental faculties dull. 9th, vomited twice the previous night; passed no urine ; half an ounce of mucus and urine obtained by use of catheter. 10th, total suppression of urine; bowels moved twice in the night; stools more consistent, but light colored. ] 1th, suppression of urine continued ; patient aroused with difficulty ; pulse scarcely perceptible- Died, mber 11th. Autopsy: Surface sallow; no emaciation; old pleuritic adhesions at posterior portion and apex of right lung, a portion of its middle lobe hepatized, old cicatrices on anterior surface; heart large, otherwise normal; liver fawn-colored and enlarged; spleen large; kidneys as described. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 685. Kidneys, enlarged and fatty. Bright's disease. B. 4. Sec 684, chap. III., sec. 2, A. 7, for history. Nos. 20 20, left kidney, with pelvis distended into a single, large, multilocular cyst; the medullary substance lias mid disappeared, and the cortical substance reduced to a layer about two lines iu thickness. 21, section of right 21. kidney of same patient, enlarged aud fatty. B. 5 and 6. Corporal J. H., ''C, 42d New York. Admitted, September 15th, 1862, with chronic diarrhsea. Died, October 21st. No attention was drawn to the kidneys during life. Autopsy: Kidneys as described ; bladder small and contracted. Contributed by Medical Cadet Kingston, Douglas Hospital, Washington, D. C.