On the treatment of tuberculous diseases in their surgical aspect : being the Harveian lectures for 1899 / by W. Watson Cheyne.

  • Cheyne, William Watson, Sir, 1852-1932.
Date:
1900
Catalogue details

Licence: In copyright

Credit: On the treatment of tuberculous diseases in their surgical aspect : being the Harveian lectures for 1899 / by W. Watson Cheyne. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    SYMPTOMS “7 kidney may also without being tuberculous be the seat of a pyelonephritis or of waxy degeneration, and this condition is one that it is important to remember in connection with operation. The genital system is also frequently affected secondarily, more often, of course, in the male than in the female. Symptoms.—In the early stage of the disease the trouble is often indicated by the congestive phenomena, more especially by polyuria, frequency of micturition and haematuria, which is somewhat analogous to the haemoptysis which occurs in pulmonary tuberculosis. Haematuria is not at all uncommonly the first symptom present and may occur before any other urinary trouble is manifest. It appears without any apparent cause, the patient simply happening to notice that the urine is tinged with blood. The occurrence of the haemorrhage is not affected by movement and it is not improved by rest, as in the case of haematuria due to calculi. The urine is generally uniformly mixed with blood, which may be bright or dark in colour. In some cases the presence of blood is only detected on microscopical examination ; in others the haemorrhage is profuse and may last for some days and then disappear without a cause. Renal haematuria due to tuberculosis must be distinguished from that in connection with hyper- trophied prostate, acute cystitis, stone, more especially in the kidney, tumour, &c. One of the earliest symptoms in addition to polyuria and frequency of micturition is the occurrence of pain in the loin, and in the absence of any physical signs of pus, of haematuria and so forth, one may be led to suspect stone in the kidney. The characters of this pain are