. The medical age : a semi-monthly journal of medicine and surgery . ptoms as stone. If we examine a patient suffering with tubercular nephritis,we shall find him to have many of the symptoms m common withcalculous nephritis. In tuberculosis of the kidney, a mass of tissue undergoingcaseous degeneration may clog the ureter temporarily and giverise to precisely the same colicky pains as stone; while pus, blood,and epithehum are common to both. We are also confronted bythe same difficulty in the early stages of the various tumors, bothmalignant and non-malignant, that occur in the kidneys, as th
. The medical age : a semi-monthly journal of medicine and surgery . ptoms as stone. If we examine a patient suffering with tubercular nephritis,we shall find him to have many of the symptoms m common withcalculous nephritis. In tuberculosis of the kidney, a mass of tissue undergoingcaseous degeneration may clog the ureter temporarily and giverise to precisely the same colicky pains as stone; while pus, blood,and epithehum are common to both. We are also confronted bythe same difficulty in the early stages of the various tumors, bothmalignant and non-malignant, that occur in the kidneys, as they 762 . DIAGNOSIS OF STONE IN THI BLADDER, ETC. are accompanied by pain in the renal region, with blood in theurine, etc. In some cases of movable kidney simulating- calculous nephritisthere are present pain in the renal region and collapse, with pusand blood in the urine. Disease occurring in organs outside the kidney may be mis-taken for calculous nephritis, such as tumors of the omentum,cancer of the colon, intestinal accumulations, and disease of Skiagraph No. i.—Stone in bladder. (Milwaukee X-ray Laboratory.) The work of Henry Morris, who is the father of nephrolithot-omy, and who has incised the kidney more than forty times forstone, when all the clinical symptoms were present, without findingthe calculus, beautifully illustrates the necessity of a more accuratediagnostic method. The successful use of the .r-ray has done away with the neces-sity of a diagnostic incision for renal and ureteral calculus with its ORIGINAL :-HA J ES 763 risks, and has made the diagnosis possible in the early stageswhere the operation is attended with a lower mortality than any ofthe various operations for stone in the bladder. Only a few years ago the operation was not often undertakenuntil the kidney was destroyed by extensive inflammation and thepatient rendered physically disabled by unrelenting irritation andexcruciating pain. The great value of the .r-ray is in detecting
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