Lectures on diseases of the kidney, generally known as 'Bright's disease'; and dropsy / by S.J. Goodfellow.

  • Goodfellow, S. J. (Stephen Jennings)
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on diseases of the kidney, generally known as 'Bright's disease'; and dropsy / by S.J. Goodfellow. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    pervious, and in part liave remained in the tubules and Malpighian capsules, together with the altered blood, and the desquamated and degenerated epithelium by which they may have become infarcted, and rendered impervious to the passage of the urine. The same in- flammatory exudates still remain in the tissues, or they may have undergone a sort of gelatinous metamor- phosis more or less abounding in fatty matter, and the tubes themselves in many parts may be wasted and obliterated from the pressure. The smaller arteries being in like manner pressed upon, any further supply of blood is cut off, and there is, consequently, an anaemic appearance of the tissues generally, with here and there a few congested venous radicles. All this, for the most part, has taken place in the external, secreting, or cortical portion of the organ, which has consequently increased in thickness at the expense of the internal, or medullary, or excreting portion, and the fibrous investment, having been exposed for weeks or months to constant pressure from within, has now yielded considerably, so that the size of the kidney may be even three or four times greater than in the normal state. Here, then, we have a kidney closely resembling the second and third forms of Rayer, as figured in his sixth plate, fig. 4, a large diagram of which is also on the wall, the large white kidney of Bright and Wilks, and the third and fourth forms of Rokitansky. That this is no imaginary description many of you have seen in the dead-house, and many may still see;