Renal diseases : a clinical guide to their diagnosis and treatment . aa. Epithelial casts, bb. Granular casts. cells of a size much larger than the epithelialcell; these are not only highly granular, butcontain numerous highly refractive are the largecompouud granule-cell, orGluges corpuscle. THE URINE. 289 ORGANICFORMS. The epi- These epithelial granule-casts with the large thelial compound granule-cell are significant of the cast. second stage of acute albuminuria, and they represent the acute desquamative nephritis of Dr. George Johnson; and the tubal nephritis of Dr. Dickinson
Renal diseases : a clinical guide to their diagnosis and treatment . aa. Epithelial casts, bb. Granular casts. cells of a size much larger than the epithelialcell; these are not only highly granular, butcontain numerous highly refractive are the largecompouud granule-cell, orGluges corpuscle. THE URINE. 289 ORGANICFORMS. The epi- These epithelial granule-casts with the large thelial compound granule-cell are significant of the cast. second stage of acute albuminuria, and they represent the acute desquamative nephritis of Dr. George Johnson; and the tubal nephritis of Dr. Dickinson. Pus- It occasionally happens that the epithelialcasts, cell is replaced by the presence of pus-corpus- Fig. Pus cast. cles, which are moulded together as the epi-thelial cells are and washed out, not as isolatedcells, but in these cylindrical groups. Theyare rare, but the cases do not differ, as regardssymptoms, from those in which the epithelialcast alone is visible. They represent an acuteform of albuminuria. Fatty In the chronic varieties of albuminuria castsand are seen free from cells, or the vestige only ofgranular one here and there; but these casts have a dis-eases, tinct granular appearance, and in the finegranular matter, or in more transparent partof the cast, numerous isolated, highly refrac-tive grains or molecules are seen. These appear to be the nuclei of abortive orof broken-up disintegrated cells. When large,25 290 THE URINE. ORGANICFORMS. Fatty or a few of them coalesce together, they have and all the characteristic refraction of fat grains. granular These when grouped together in granules, casts, both of large and small dimension, give a dis- Fiff. 15.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectkidneys, bookyear1870
