Renal diseases : a clinical guide to their diagnosis and treatment . i. In the hematuria produced by turpentine or cantha- rides; in the hematuria from injury by wound or otherwise of the kidneys, but not in the hematuria of calculous disease of the kidney, nor in tubercle, nor in cancer. The epi- After the congestive or hemorrhagic periodthelial of acute albuminuria has passed the epithelialcast. gland-cells of the uriniferous tubes are cast offin abundance ; they are washed out by thecurrent, and appear in the sediment of theurine as moulds of the tubes made up of thesecells held together by


Renal diseases : a clinical guide to their diagnosis and treatment . i. In the hematuria produced by turpentine or cantha- rides; in the hematuria from injury by wound or otherwise of the kidneys, but not in the hematuria of calculous disease of the kidney, nor in tubercle, nor in cancer. The epi- After the congestive or hemorrhagic periodthelial of acute albuminuria has passed the epithelialcast. gland-cells of the uriniferous tubes are cast offin abundance ; they are washed out by thecurrent, and appear in the sediment of theurine as moulds of the tubes made up of thesecells held together by some fine granular 288 THE URINE. FORMS. The epi-thelialcast. matter. When the cells are most numerousit is called an epithelial cast. When the gran-ular matter predominates and separates thecells individually from each other, it is calleda granular epithelial cast. In the transitionperiod of the acute form blood-corpuscles oftenaccompanying the epithelial cell. With these epithelial casts there are con-stantly seen, both in the cast as free or isolated, Fig. aa. Epithelial casts, bb. Granular casts. cells of a size much larger than the epithelialcell; these are not only highly granular, butcontain numerous highly refractive are the largecompouud granule-cell, orGluges corpuscle. THE URINE. 289 ORGANICFORMS. The epi- These epithelial granule-casts with the large thelial compound granule-cell are significant of the cast. second stage of acute albuminuria, and they represent the acute desquamative nephritis of Dr. George Johnson; and the tubal nephritis of Dr. Dickinson. Pus- It occasionally happens that the epithelialcasts, cell is replaced by the presence of pus-corpus- Fig. 14.


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectkidneys, bookyear1870