Notes on Bright's disease of the kidney, as observed chiefly in the clinical ward of the Jamsetjee Jejeebhoy Hospital, at Bombay / by C. Morehead.

Date:
[1851?]
Catalogue details

Licence: Public Domain Mark

Credit: Notes on Bright's disease of the kidney, as observed chiefly in the clinical ward of the Jamsetjee Jejeebhoy Hospital, at Bombay / by C. Morehead. 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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    lar; the kidneys when vertically incised showed much granular degeneration ; the surface being mottled red and yellow, granu- lar, with confusion of the tubular and cortical structures. This state was most marked in the central part of the right kidney ; it was more diffused in the left one. In both, in one or two places, there was tubular structure, not encroached upon, but the cortical portion external showed commencement of yellow gra- nular deposit. Remarks.—The question suggests itself,—Had the dilatation of the right, the slight hypertrophy and dilatation of the left ventri- cle, relation to the occupation of diver, which this individual had followed ? Case II.—Dropsical symptoms; urine of low density and albuminous ; bronchitis, diarrkoza, periostitis, erysipelas, as secondary affections ; kidneys large, and in a state of yellow granular and fatty degeneration ; an opium-eater. Hurrichund, a Hindoo writer, of 30 years of age, a native of Cutch, and resident in Bombay for about 7 months, was the subject of primary and secondary syphilis about five years before became under observation, but no traces of the disease were present. He admitted that he had been in the habit of eating opium to the extent of 25 grains daily for about four years, and that he occasionally drank spirits. About four months before his admission into hospital he had been affected with dropsical swellings, which had disappeared without any medical treatment. About a month before admission he had experienced pain in the lumbar region, and the dropsical symptoms had returned. He was admitted into the clinical ward on the 22nd April 1849. There was anasarcous swelling of the lower extremities; the abdomen was full, but without distinct fluctuation ; the respi- ration was calm; there was no dulness on percussion of the chest, the sounds of the heart were natural, but an occasional crepitus mixed with the vesicular respiration in the dorsal regions, chiefly the left; the pulse was soft; the skin cool; the tongue moist; the bowels were reported to be regular; the urine copious; and the pain of the lumbar region formerly complained of had ceased. On the 24th the urine was amber-coloured, of specific