. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. id in reaction, andcontained no albumin or abnormal in-gredients. There were no differencesbetween the urine when the tumor was present and that passedduring the time of disappearance of the mass. Throughout November the patient was very well. A carefullyadapted pad and bandage have given her great relief, and she hasnoticed the tumor only once. She has been in Philadelphia stay-ing with friends. Throughout the week ending December 16thshe had had a great deal of worry and t
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. id in reaction, andcontained no albumin or abnormal in-gredients. There were no differencesbetween the urine when the tumor was present and that passedduring the time of disappearance of the mass. Throughout November the patient was very well. A carefullyadapted pad and bandage have given her great relief, and she hasnoticed the tumor only once. She has been in Philadelphia stay-ing with friends. Throughout the week ending December 16thshe had had a great deal of worry and trouble with illness in thefamily, and had been on her feet a great deal. On the 15th shewas tired out and went to bed. Stayed in bed all day and hadsome pain and distress on the left side and noticed the reappear-ance of the tumor. December 16th.—To-day, at p. m., the tumor mass is present,though not so prominent as on the former examination. It doesnot reach beyond the parasternal line; is not specially sensitive;easily moved on bimanual palpation. On deep inspiration thefingers can be placed well above Fig. 40. -Position of the tumor inCase LXU. TUxMORS OF THE KIDNEY. 175 On questioning the patient with reference to the onset of theattacks, she states that even when a young girl she remembers tohave had pain in the left side after running or after dancing for along time, but she never noticed the presence of the lump untilMay of this year. She has given up measuring the daily amountof urine, but she is certain that there is no striking and sudden in-crease in the amount as the tumor disappears. Case LXIII. Pains in Left Side, with Development of Tumoi\which gradually Disappears.—Mrs. X., aged forty-six years, ad-mitted to Ward C, October 23d, complaining of intermittent attacksof pain in the left side, and a swelling or lump which occurs at thesame time. The family history is good. She was always very strong as agirl; married at twenty-two; has had three childre
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