A treatise on the practice of medicine, for the use of students and practitioners . first implication of the kidneys in the morbid pro-cess, there may be none, and when present the quantity is sufficient toimpart a faint cloudiness merely, but it becomes permanent as a con-stituent of the urine during the height of the disease, unless just at theclose, when it may disappear again. The urine contains so little else * Safranine, an aniline product, is said to be an admirable test for amyloid are immersed in a very dilute watery solution. The amyloid matter is stainedorange-yellow
A treatise on the practice of medicine, for the use of students and practitioners . first implication of the kidneys in the morbid pro-cess, there may be none, and when present the quantity is sufficient toimpart a faint cloudiness merely, but it becomes permanent as a con-stituent of the urine during the height of the disease, unless just at theclose, when it may disappear again. The urine contains so little else * Safranine, an aniline product, is said to be an admirable test for amyloid are immersed in a very dilute watery solution. The amyloid matter is stainedorange-yellow; the rest of the tissue, 494 DISEASES OF THE KIDNEY. than water that the sediment is very small in amount, and hence it re-quires a good deal of urine to collect even a few casts. Only the hyalinecasts are proper to this disease ; they are perfectly transparent, homo-geneous, and slender, so that they are seen only by careful managementof the light. Large granular casts, blood-corpuscles, and renal epithe-lium may be present in considerable quantity when parenchymatous. —A Large Hyaline Cast without, and Two with Epithelium. (Beale.) nephritis is a complication. The casts may present a faintly yellowand highly refracting appearance when attacked by the amyloid changeor composed of the amyloid material. More or less oedema is always present, but general dropsy is infre-quent. The oedema is found in the lower extremities, and ascites isusually present, and disproportionate to the quantity of fluid is doubtless due to the implication of the liver in the generalmorbid process, and to the swelling of the lymphatics in the hilus ofthe liver, compressing the vena porta. With the progress of the dis-ease, there are necessarily increasing weakness and anaemia, a pecu-liar earthy or fawn color of the skin, and pigmentation of the exhaustion of the vital forces is greatly hastened by the occur-rence of a profuse, watery, and uncontrollable diarrhoea.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
