. Selected monographs, comprising Albuminuria in health and disease. er is inserted intothe kidney opposite the upper part of the pelvis, in the erectposture the urine cannot overflow into (? out of) tlie pelvis ofthe kidney until the pelvis of the kidney is full to that point.^ The pelvis of the kidnev is enclosed bv a vielding andexpansible wall, which gradually dilates under the pressureof the urine collecting within it, until the sac reaches such asize as to be capable, on its part, when full, of completelycompressing the ureter, which lies immediately in contactwith it. But only in the er


. Selected monographs, comprising Albuminuria in health and disease. er is inserted intothe kidney opposite the upper part of the pelvis, in the erectposture the urine cannot overflow into (? out of) tlie pelvis ofthe kidney until the pelvis of the kidney is full to that point.^ The pelvis of the kidnev is enclosed bv a vielding andexpansible wall, which gradually dilates under the pressureof the urine collecting within it, until the sac reaches such asize as to be capable, on its part, when full, of completelycompressing the ureter, which lies immediately in contactwith it. But only in the erect position ! For as soon asthe owner of this kidney lies down, as for instance duringsleep, the urine flows away continuously, and without anyobstacle, out of the sac into the bladder. In the case ofkinks, on the other hand, the change is produced by thesegment of the ureter situated above the kink, rising sorae-wliat as the distension becomes greater, in such a way thatthe point of bending comes rather to resemble the point MOVEABLE KIDNEY IX WOMEN. 305 Fig. Bight kidney. 2. Right renal artery kinked. 3. Eight renal vein. 4. Right ureter bent, and inserted into the highest point of the pelvis of the kidney. 5. Abdominal aorta. 6. Vena cava inferior. 7. Left kidney in its normal situation. Tvlierc a funnel passes into its ueck. But as soon as thegreater part of tlie urine lias escaped, tlie uretei becomeskinked again at the old spot. But even, in the case ofsimple naiTowing, however little the obstacle itself changes,there is by no means always the same impediment to thesecretion of urine. Suppose a case in which a considerableobstacle arises suddenly during a period of plentiful secretion,a moment will be reached (not, indeed, so rapidly as incomplete obstruction, but in a relatively short time) in whichthe disorder of relation between secretion and escape will 20 306 MOVEABLE KIDNEY IN WOMEN. result in so great a repletion and distension of the pelvisof the kidney and p


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Keywords: ., bookcentury1800, bookdecade1880, booksubjecttyphoid, bookyear1884