. Modern surgery, general and operative. profuse and long-continuedsuppuration and is apt to arise in the liver, spleen, kidneys, or intestinal mucousmembrane. Tuberculosis is not the only cause of amyloid degeneration,syphilis being responsible for at least 30 per cent, of all cases. In amyloiddisease of the liver the organ is much enlarged, smooth, painless, and of increasedconsistency; there is no jaundice, the spleen is apt to be enlarged, and albuminu-ria is the rule. In amyloid kidney large amounts of pale urine of low specificgravity are voided; albumin is usually present in large amoun
. Modern surgery, general and operative. profuse and long-continuedsuppuration and is apt to arise in the liver, spleen, kidneys, or intestinal mucousmembrane. Tuberculosis is not the only cause of amyloid degeneration,syphilis being responsible for at least 30 per cent, of all cases. In amyloiddisease of the liver the organ is much enlarged, smooth, painless, and of increasedconsistency; there is no jaundice, the spleen is apt to be enlarged, and albuminu-ria is the rule. In amyloid kidney large amounts of pale urine of low specificgravity are voided; albumin is usually present in large amount, but may beabsent; globulin may often be found, as may also hyaline, fatty, or granularcasts; the patient is anemic and dropsy usually exists. Test the hyaline castswith iodin for amyloid material. Amyloid changes are usually slow in onset,but they may be rapid; they are commoner in men than in women, and are ^ ^ See E. G. Bracketts important paper on Gluteal Bursitis in the Transactions of theAmerican Orthopedic Association, vol. Fig. 442.—Thomass poste-rior splint. 714 Diseases and Injuries of the Bones and Joints most frequently encountered in individuals between the ages of ten and amyloid change may be recovered from, but an extensive degenerationbrings about a fatal result. Treatment.—In most of these cases conservative treatment is treatment is used in all cases. In incipient hip disease thetreatment usually advocated is rest. The patient is placed upon a solid mattressand extension is applied. In children under ten years of age a weight of from3 to 5 pounds is used; in individuals between ten and twenty a weight of from5 to 8 pounds is used. A long splint is often applied to the sound side to keepthe patient recumbent and horizontal. A cradle is employed to hold up thebed-clothing. The extension is applied in the long axis of the limb, theextremity being placed in the line of the deformity due to disease and beingproperl
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