Renal tension and its treatment by surgical means / by Reginald Harrison.

  • Harrison, Reginald, 1837-1908.
Date:
[1901]
Catalogue details

Licence: In copyright

Credit: Renal tension and its treatment by surgical means / by Reginald Harrison. 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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    I can best put the case before you by tak- ing types representing three states of acute nephritis which not uncommonly come under notice in connection with scarlet fever. The first is the common type, where there are varying degrees of fever, rash, and desqua- mation, with nephritis indicated by blood in the urine, albumen, casts, and epithelium. The fever may be high and the kidney complication severe, but the tendency in every direction is towards recovery and complete restoration of the organs involved. Cases included in this large class certainly do not require surgical attention, for recovery is steadily progressive, and after a few weeks’ interval of illness and convalescence the con- gested organs return to their normal condition. The second group of cases, though appa- rently belonging at the commencement of the attack to the preceding class, does not end in the same way. The previously healthy adult or child passes through the early stage of the disorder much as in the former instance, but convalescence is delayed, and the signs of the nephritis, as evidenced by albuminuria and casts in the urine, do not disappear. The disease does not progress towards recovery, but is stationary or trends in the opposite direction. These are the instances which furnish a