Lectures on Bright's disease of the kidneys : delivered at the School of Medicine of Paris / by J.M. Charcot ; translated, with the permission of the author, by Henry B. Millard.

Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on Bright's disease of the kidneys : delivered at the School of Medicine of Paris / by J.M. Charcot ; translated, with the permission of the author, by Henry B. Millard. 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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    would naturally result in producing a compression of the blood-vessels of the glomeruli, which would therefore become exsanguinated. It is thus easily understood that the urinary secretion would be sometimes rapidly suppressed. This alteration of the glomeruli, which, according to Klebs, is peculiar to scarlatina, is found in certain chronic lesions of the kidney, combined with alterations affecting the epithelium of the convoluted tubes and the interstitial connective tissue. II. I cannot conclude these preliminaries of normal anatomy without saying a few words about the principal arrange- ments presented in their distribution by the renal arteries and veins, following in this expose1 the description given by Ludwig in his remarkable article in Strieker's Encyclopedia. It is the most recent, and, in many respects, the most fully authorized description. The renal arteries, in their course between the medullary and the cortical substance, give origin to two orders of ves- sels, one destined to the cortical, the other to the medullary substance. 1. The arteries of the cortical substance arise perpendicu- larly to the direction of the renal arteries, and form the inter- lobular branches; from these spring, also at a right angle, the arterioles which run to the glomeruli, and are known as afferent vessels {Fig. 8). The vas afferens, ordinarily undi- vided before it reaches the glomerulus, gives off sometimes, however, branches which go directly to the capillaries. Within the glomerulus the vas efferens divides into four or five branches, which furnish capillaries ; these then reunite to form the vas efferens, which emerges, at the same time as the 2