The Bradshaw lecture on prognosis in relation to treatment of tuberculosis of the genito-urinary organs : Delivered before the Royal College of Surgeons of England, December 1907.

  • Godlee, Rickman John, Sir, 1849-1925.
Date:
1908
Catalogue details

Licence: In copyright

Credit: The Bradshaw lecture on prognosis in relation to treatment of tuberculosis of the genito-urinary organs : Delivered before the Royal College of Surgeons of England, December 1907. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    drainage tube was inserted, which was dis- pensed with on the eighteenth day. There was some shock after the operation, and on the following day the urine contained 2*2 per cent, of sugar, but, except for this, recovery was uninterrupted, and he left the hospital on December 2, 1906. When seen in November, 1907, he was in excellent health and had lost all his pain. He rides about his work and has no complaints. The lower end of the right kidney can be felt. There is no sign of active tubercle, and no tubercle bacilli are to be found in the urine. A railway porter, aged 24, was transferred from the medical wards with the diagnosis of calculous pyelitis ; he was passing blood and pus, which segregation showed to be coming from the left kidney, the urine from the right being normal. No tubercle bacilli were found in the urine, and a skiagram showed a shadow. My colleague, Mr. Johnson, found extensive peri- adentis, and that the lower pole of the kidney was hard and nodular—partly caseous and partly calcareous. The affected part was cut away with scissors, in the early part of April, 1906, the kidney was drained, and the patient made a good recovery. I saw him on October 10, 1907—he looks and feels perfectly well; the kidney can be felt, but there are no marked