. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. upernumerary kidneys, atrophyof one kidney. They may be anomalous in form: general departuresfrom type, as lobulation; hypertrophy of one or both organs, and fusion—horse-shoe kidney, sigmoid kidney,disk-shaped kidney. Finally, theremay be variations in the blood-vessels, pelvis, and ureters. Of these abnormal conditionsthe hypertrophied kidney can bediagnosticated only when the affectedorgan is movable and is recognizedupon palpation through the abdom-inal wall; the horse-shoe kidn
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. upernumerary kidneys, atrophyof one kidney. They may be anomalous in form: general departuresfrom type, as lobulation; hypertrophy of one or both organs, and fusion—horse-shoe kidney, sigmoid kidney,disk-shaped kidney. Finally, theremay be variations in the blood-vessels, pelvis, and ureters. Of these abnormal conditionsthe hypertrophied kidney can bediagnosticated only when the affectedorgan is movable and is recognizedupon palpation through the abdom-inal wall; the horse-shoe kidney onlywhen it has descended to a position ^ „ ,.^^ , „,., r. x^ ?. i ~ , — Horse-shoe kidney—German Hospital. just above the promontory of the sacrum and can be felt through thin abdominal walls as a prevertebraltumor with a non-expansile pulsation communicated from the underlyingaorta, upon which it in part rests; a single kidney may be suspected whentympanitic percussion resonance is constantly elicited in one lumbarregion and no movable kidney is palpable, or when, after an attack of. MOVABLE KIDNEY. 513 riiiul colu- \v th impaction, coinplctc anuria and ultinuitcly fatal ura-niiaoccur. In rare cases the impaction of a calculus upon one side may befollowed by anuria when both kiflnc>ys arc |)rosent. Other anomaliescannot be recognized during life. II. KIDNEY. Ren Mobilis; Palpable Kidney; Floating or Wandering Kidney; Nephroptosis. Etioloffy.—The condition may be congenital, the kidney being sur-rounded by peritoneum which forms a mesonephron. Far more commonlyit is acquired. It is probable that congenital defects in the mechanism ofattachment are at fault in all cases. Wasting of the perirenal fat is a kidney has been observed at all ages, but is usual in middlelife. It is more common in women than men in the proportiorvof 7 to 1 —a fact attributed to compression of the base of the chest by the corsetand the change i
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
