Hooper's physician's vade mecum, or, A manual of the principles and practice of physic . of chronicdesquamative nephritis. These casts arecomposed of fibrin, with particles of dis-integrated epithelium; they commonlyexist in the urine of those who have hadnumerous attacks of gout, aud they mayoften be detected long before any other signof renal disease. Albumen appears at alater stage, and is therefore a sign of lessvalue in this form of disease, since theprobability of a cure depends, in a greatdegree, upon the disease being detected inan early stage. Fig 29 represents a pecu-liar foi-m of ca


Hooper's physician's vade mecum, or, A manual of the principles and practice of physic . of chronicdesquamative nephritis. These casts arecomposed of fibrin, with particles of dis-integrated epithelium; they commonlyexist in the urine of those who have hadnumerous attacks of gout, aud they mayoften be detected long before any other signof renal disease. Albumen appears at alater stage, and is therefore a sign of lessvalue in this form of disease, since theprobability of a cure depends, in a greatdegree, upon the disease being detected inan early stage. Fig 29 represents a pecu-liar foi-m of casts which fromtheir appearance may be calledwaxy. This material is some-times deposited in the tubes inthe advanced stage of chronicnephritis, but it sometimesoccurs in an acute form as aprimary disease of the kidney. Fig. 30 represents casts composedof fibrin, entangling oil globules andepithelial cells gorged with oil. Theymay be called oily casts, and they in-dicate the existence of fatty degenera-tion of the kidney, the most serious andincurable form of Brights disease. Fig. Fig. 31 represents pw^lent casts, that is to say,casts of fibrin entangling pus cells, from the urineof a man who had suppurative nephritis; a veryserious and often rapidly fatal form of disease. CASTS OF THE URINARY TUBES. 127


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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185