. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . lformations, displacements, wounds.(B) Infection, acute and chronic. (C) Calculi. (D) Tumors. The kidneys are locatedon each side of the lowerthoracic and upper lumbarvertebrae, surrounded andsupported by a definite fattycapsule. (Fig. 43.) Theurine is secreted throughthe glomeruli and urinifer-ous tubules of the kidneysubstance, and carried by thevarious collecting tubules tothe hilum or pelvis ofthe kidney. (Fig. 44.) Theureter is continuous withthe pelvis of the
. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . lformations, displacements, wounds.(B) Infection, acute and chronic. (C) Calculi. (D) Tumors. The kidneys are locatedon each side of the lowerthoracic and upper lumbarvertebrae, surrounded andsupported by a definite fattycapsule. (Fig. 43.) Theurine is secreted throughthe glomeruli and urinifer-ous tubules of the kidneysubstance, and carried by thevarious collecting tubules tothe hilum or pelvis ofthe kidney. (Fig. 44.) Theureter is continuous withthe pelvis of the kidney atits lowest point so that nor-mally there is no stasis ofurine, though this is a fre-quent occurrence in patho-logical conditions. A. MalformationSjDis- PLACEMENTS AND WoUNDS. —(1) Congenital anomaly ofshape or position of the kid-neys is comparatively rare,but may be extremely im-portant. There are several possibilities: (a) Fusion of thetwo kidneys, horseshoe kidney, with one or two ureters.(6) Absence of one kidney with an enlarged, hypertrophiedopposite organ, (c) Displacement of one or both kidneys, or of 207. U/i£Tfifi/i Fig. 43.—Diagram of urinary organs. 208 ESSENTIALS OF SURGERY FOR NURSES K/DNEY a fused organ, which may be discovered as a pelvic mass andmistaken for a tumor. Clinical evidence is rarely suggestive, and the condition ismost often discovered at exploratory operation or the ureters, and especially X-ray examinationsafter catheterization of the ureters, give suggestive rare instances such an anomalous kidney presents seriouspathological changes and is removed without recognition of the anatomical condition. The ^^njBULES ^^^^^* ^^ likely to be deficientkidney substance for normalfunction, and death fromursemia. 2. Atrophy of a kidneysometimes follows suddencomplete obstruction of theureter, as in accidental liga-tion of a ureter during anextensive pelvic operation,and may occur with no sug-gestive symptoms, b
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
