Tri-State medical journal and practitioner . isease instead of the decided limp. The * Reported to the St. L,ouis Academy of Medical and Surgical Sciences. 112 Original Articles. sole symptom which pointed to a kidney lesion, from first to last, was thepresence of pus in the urine. The patient being intelligent and sensible, I explained the impossibilityof deciding upon the origin of the pus except by incision, but advised im-mediate operation, which was accepted. On February 20th, assisted byDrs. G. W. Cale, Bartmer and Hess, I cut down upon the abscess and, be-ginning at its lower margin, ca
Tri-State medical journal and practitioner . isease instead of the decided limp. The * Reported to the St. L,ouis Academy of Medical and Surgical Sciences. 112 Original Articles. sole symptom which pointed to a kidney lesion, from first to last, was thepresence of pus in the urine. The patient being intelligent and sensible, I explained the impossibilityof deciding upon the origin of the pus except by incision, but advised im-mediate operation, which was accepted. On February 20th, assisted byDrs. G. W. Cale, Bartmer and Hess, I cut down upon the abscess and, be-ginning at its lower margin, carefully dissected it out. The first sacralnerve was found so tightly embedded in inflammatory deposit as to necessi-tate at least ten minutes attention to liberate it without injury. Soon thepus-sac was traced to a point behind the rib—a little above which it turnedabruptly toward the kidney. In attempting to separate it from adjacenttissues my finger suddenly broke into the abscess-cavity in the kidney andcame in contact with this After cutting away the large external pus-sac it was an easy matter tobreak down the remnants of the cortical arch which laid between the twohorns of the stone (each of which projected into one of the calices) andthen to remove the calculus. Careful exploration of the pelvis of the kid-ney with a finger failed to reveal any further trouble; so the diseased pyra-mids and surrounding cortical substance were gently curetted with thefinger-nail, with irrigation; the cavity was then dried and packed withiodoform gauze and the external wound closed except at point of drainage. There was little hemorrhage and absolutely no shock. Progresstoward recovery has been satisfactory in every particular. The albuminu-ria has disappeared. The abscess cavity measured seven and one-half inches outside the kid-ney. The stone is seven-eighths of an inch by five-eighths. True.—There ought to be a good supply of medical men in St. Louisthe first week in April.
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Keywords: ., bookcentury1800, bookdecade1890, bookpublish, booksubjectmedicine
