A practical treatise on urinary and renal diseases : including urinary deposits . ch, was admitted intothe Manchester Infirmary in Mareh, 1868. His illness began two yearsand a half ago with slight and temporary hematuria. Fourteen monthsago more violent hsematuria took place, which has continued more or lessever since. His medical attendant discovered a lump in the left side atwelvemonth ago, and since then he has gradually become weaker andthinner, and the lump has steadily increased in size. On admission he was extremely emaciated, countenance of a greenish, ILLUSTRATIVE CASES. 533 sallow a
A practical treatise on urinary and renal diseases : including urinary deposits . ch, was admitted intothe Manchester Infirmary in Mareh, 1868. His illness began two yearsand a half ago with slight and temporary hematuria. Fourteen monthsago more violent hsematuria took place, which has continued more or lessever since. His medical attendant discovered a lump in the left side atwelvemonth ago, and since then he has gradually become weaker andthinner, and the lump has steadily increased in size. On admission he was extremely emaciated, countenance of a greenish, ILLUSTRATIVE CASES. 533 sallow appearance, drawn and suggestive of suffering ; tongue red anddryish ; p. 94, r. 24. No oedema of any part. The abdomen was muchenlarged, especially on the left side, and on palpation a large solidtumour, as large as a mans head, was felt on the left side of the abdomen,occupying the epigastric, hypochondriac and lumbar regions. The limitsof the tumour, as ascertained by palpation and percussion, were asfollows (see Fig. 67). The anterior margin could be traced from a little to. Fig. 67. Diagram showing the position and relations of the tumour in the case ofF. M., g. stomach, c. colon, s. spleen. the right of the ensiform cartilage, running downwards an inch and a halfto the right of the middle line. About an inch above the umbilicus, theoutline trended abruptly to the left, crossed the middle line, and thendescended obliquely into the iliac fossa, as low as the crest of the , the growth extended beneath the ribs, bulging these out, almostas high as the nipple. Posteriorly, the growth occupied the whole lumbarregion, and caused a marked fulness in the site of the kidney. The areaof the tumour was dull on percussion, except in the epigastrium, and alongthe left costal margin, where a tympanitic note indicated that the stomachlay in front of it. The descending colon could easily be traced in front ofthe tumour—it was often loaded with masses of scybala. Over the low
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Keywords: ., bookcent, bookdecade1870, booksubjecturinalysis, booksubjecturine
