Medical and surgical report of the Presbyterian Hospital in the City of New York . der tumor was found in this disappeared under the costal margin and could be moved onlyin an antero-posterior direction. There was flatness from thefourth intercostal space to the crest of the ileum, concealing thesplenic dullness. When the patient assumed the right lateralposition the tumor approached almost to the median line. Theheart, lungs and nervous systems were normal. Blood examina-tion showed no abnormality. The urine was dark brown, acid, and had a specific gravity of1020. It contained about


Medical and surgical report of the Presbyterian Hospital in the City of New York . der tumor was found in this disappeared under the costal margin and could be moved onlyin an antero-posterior direction. There was flatness from thefourth intercostal space to the crest of the ileum, concealing thesplenic dullness. When the patient assumed the right lateralposition the tumor approached almost to the median line. Theheart, lungs and nervous systems were normal. Blood examina-tion showed no abnormality. The urine was dark brown, acid, and had a specific gravity of1020. It contained about per cent, albumin, and no examination revealed hyaline and granular casts,many red blood cells, leucocytes and epithelium. Urea was cent. The ureters were catheterized and the urine from thetwo sides had practically the same characters, but the rightkidney was excreting the greater amount. On January 6, 1908, Dr. Eliot found at operation a large,firm, nodular mass, occupying the site of the left kidney. It yy ,^^xr:; -^v-:/;v •*•; :\:,. rt:. • I -if v*^^ -:it^- -•>-1-*^ ^*5««3Lj, ?»!,»• . FIG. 1 ADENOMATOUS TISSUE


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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyo, bookyear1896