A practical treatise on urinary and renal diseases : including urinary deposits . vidently depended onpulmonary oedema. The countenance was pale and sallow, and the bodyspare, but not conspicuously emaciated. The urine was copious (threepints), of low density (1012), and highly albuminous (3) ; it deposited anot inconsiderable Hour-like sediment, composed of casts and renalepithelia, many of which showed abundant signs of fatty changes (seeFig. 53) :—The casts were mostly medium-sized : some were granular andopaque, as at (a) ; others, in about equal numbers, were nearly hyaline,with only very
A practical treatise on urinary and renal diseases : including urinary deposits . vidently depended onpulmonary oedema. The countenance was pale and sallow, and the bodyspare, but not conspicuously emaciated. The urine was copious (threepints), of low density (1012), and highly albuminous (3) ; it deposited anot inconsiderable Hour-like sediment, composed of casts and renalepithelia, many of which showed abundant signs of fatty changes (seeFig. 53) :—The casts were mostly medium-sized : some were granular andopaque, as at (a) ; others, in about equal numbers, were nearly hyaline,with only very faint markings, as at (6). Withered epithelia studded someof the casts, or lay scattered free about the field. Botryoidal fat masseslay embedded in some of the casts ; other casts were dotted over irregu-larly with oily particles. Some of the renal cells were similarly dotted ILLUSTRATIVE CASES. 403 in their interiors, -while others wer e entirely changed into round agglome-rations of fat molecules (granular corpuscles) (c, d). A few sparse blood-disks were scattered Fig. •53.—Casts and renal cells from the urine of Mr. V . a a. Granular opaque casts ; b b. Hyaline easts ; c. Fatty masses. The previous history was singularly barren of etiological patients mode of life had been strictly temperate ; and there was noevidence of repeated exposure to cold, nor of gout. Father and motherdied at the age of forty-five—the latter of consumption. He himselfhad enjoyed remarkably good .health, until of his presentcomplaint. The treatment adopted was :—dry-cupping the chest, warm bath everysecond day, flannel clothing, cod-liver oil and iron. The dry-cuppingremoved the dyspnoea at once, and some general amendment^took place inthe course of the ensuing month. This gentleman continued under observation until his death, which tookplace in three months. He improved for a while, and was able to go toSouthport for a fortnight, where he derived cons
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