A practical treatise on urinary and renal diseases : including urinary deposits . I found the renal symptoms somewhatadvanced ;? but the pulmonary complaint had decidedly receded. Theurine was very scanty, varying from 12 to 18 and 26 ounces a day, with aspecific gravity ranging from 1030 to 1034 ; it often deposited amorphousurates. On Jan. 29th the urinary deposit corresponded to the followingdescription :—It was scanty, and composed of atrophied renal cells, witha few excessively transparent small hyaline casts, some of which werespeckled with albuminous granules and a few doubtful oil part
A practical treatise on urinary and renal diseases : including urinary deposits . I found the renal symptoms somewhatadvanced ;? but the pulmonary complaint had decidedly receded. Theurine was very scanty, varying from 12 to 18 and 26 ounces a day, with aspecific gravity ranging from 1030 to 1034 ; it often deposited amorphousurates. On Jan. 29th the urinary deposit corresponded to the followingdescription :—It was scanty, and composed of atrophied renal cells, witha few excessively transparent small hyaline casts, some of which werespeckled with albuminous granules and a few doubtful oil particles (seeFig. 56). The patient at this date was in a quiescent state and free fromfever. The chest complaint was now altogether in the background ; there wasscarcely any expectoration, and the physical signs indicated a marked ame-lioration. The depression under the right clavicle was less conspicuous,and the movement improved ; the percussion sounds were still unaltered,and the rhonchi still cavernous, but not abundant; pulse varied from 100 ; resp. from 20 to Fig. 56. Transparent hyaline casts, from the urine of M. C, on January 20(quiescent period). During February the urine became still scantier (12 to 20 ounces a day),with a density ranging from 1033 to 1041. It became almost solid onboiling. The anasarca increased, and extended into the face and upperlimbs. Occasional vomiting took place, and the appetite failed entirely. 4i 6 CHRONIC BRIGHTS DISEASE.) In the last week of February the patient insisted on going home. Buthe had not been out a single day before he took a violent cold, usheredin with repeated shiverings. The anasarca increased rapidly ; respirationbecame oppressed, and he was readmitted three days later (Feb. 26th) inthe following state :—Great general dropsy, the urine almost suppressed,distressing oppression of breathing. A compound jalap powder was ad-ministered ; after which he vomited and had three loose motions. On the following day, the
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