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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    and straininsr, were said to contain blood and mucus ; he also suffered from occasional vomiting after eating. At first at- tention was directed to the removal of the dysenteric symptoms. As these improved, bronchitie symptoms appeared ; and on the 11th July there was puffiness of the face and cedema of the feet. The urine was now examined, and was found to be of pale amber colour, of specific gravity 1.004, and albuminous ; it was fre- quently examined during his illness; it varied a good deal in quantity, frequently above 40 ounces in the twenty-four hours, and latterly often below 20, the specific gravity ranging from 1.004 to 1.018, and the presence of albumen always clearly indicated. Diarrhoea succeeded an alleviation of the bronchitie symptoms continued present for several weeks in succession, and often in an aggravated degree; the dropsical symptoms increased, there was troublesome dyspncea; the abdomen swelled, and became tense and fluctuating; paracentesis was had recourse to on the 9th December, and 14 pints of clear serous fluid, of specific gravity 1.006, and giving a copious deposit under nitric acid, was drawn off; on the 11th there was general tenderness of abdomen, with a very feeble pulse. This increased'; and he died on the 12th. Inspection eleven hours after death.—Head.—There was con- siderable serous effusion in the cavity of the arachnoid and in the sub-arachnoid space; the vessels of the piamater were con- gested ; and there was about an ounce of serum in the ventricles of the brain. Chest.—There was about a pint of reddish serum found in the sacs of the pleura; both lungs collapsed and felt crepitating un- der the finger; the right lung was in part adherent to the costal pleura, but there were no adhesions of the left lung ; the heart was contracted and smaller than natural ; the valves were healthy, and there was no hypertrophy of any of the walls ; about 2 ounces of serum were found in the sac of the pericardium. Abdomen.—About 10 pints of serum in the cavity of the ab- domen ; the peritoneal covering of the small intestines presented in some places a dotted red appearance, and shreds of recent coagulable lymph were found upon its surface and between the convolutions of the intestine, leading to tender adhesions between the convolutions, and between the surface of the intestines and