The diagnosis and treatment of tuberculosis of the kidney / by Randolph Winslow.

  • Winslow, Randolph.
Date:
[1905?]
Catalogue details

Licence: In copyright

Credit: The diagnosis and treatment of tuberculosis of the kidney / by Randolph Winslow. 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.

    1/8
    c- G THE DIAGNOSIS AND TREATMENT OF TUBERCU- LOSIS OF THE KIDNEY* By RANDOLPH WINSLOW, A. M. M. D., •Professor of Surgery, University of Maryland, Baltimore, Md. The very courteous invitation to read a paper before this distinguished body reached me at a time when I was much occupied with my professorial duties, and consequently unable to devote that thought and care to tbe preparation of a paper, which the occasion demands. In considering, however, how I might occupy the time at my disposal in a profitable manner, the subject of tu- berculosis of the kidney presented itself, aud comes with an especial fitness at this time, since a case recently in my care was a native of this state. I will make this case the subject of my remarks to-day. J. H. White, aged 23 years, laborer, was admitted to University Hospital, Baltimore, on February 16th, 1905, and was discharged improved March 23rd. There is noth- ing of especial interest in his family or previous personal his- tory. His health was good until the present ailment began. He denies having had venereal infection of any kind. Al- most one year ago he experienced an increased frequency in micturition, with pain, and subsequently passed bloody urine. These conditious gradually abated, but about Christmas they re-appeared with increased severity, and have continued to the present time. The patient is some- what emaciated and is cadaverous in appearance. He does not complain of any marked paiu or discomfort iu the region of either kidney, nor can the kidneys be pal- pated. He has not had symptoms of renal colic, and his distress is referred to the bladder. On examining the bladder with the sound, some pain was felt by the patient, but no stone or other pathological condition was detected. On admission his hemoglobin was 10%, red blood cells 4,- 000,000 and leucocytes 12,400 to the cubic mm. The examination of the urine showed spgr. 1018, color light, reaction acid, a distinct ring of albumen, no sugar, and an abundance of pus. His temperature was rather irregular ♦Paper read at the meettng of the North Carolina Medical Society, held at Greensboro, N. C., on May 25th, 1905.