A practical treatise on urinary and renal diseases - including urinary deposits (1879) (14778889774)

Kidney cancer
Identifier: practicaltreatis1879robe (find matches)
Title: A practical treatise on urinary and renal diseases : including urinary deposits
Year: 1879 (1870s)
Authors: Roberts, William, Sir, 1830-1899
Subjects: Urine Urinary organs Kidneys Kidney Diseases Urinary Calculi Urinalysis
Publisher: Philadelphia : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



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ious, and though he ap-peared fatigued after moderate exercise, he was able to walk without effort. State on admission.—Rather emaciated ; abdomen very much swollen,especially on the left side, where the veins were enlarged and tortuous-; 540 CANCER OF THE KIDNEY. the left extremities were considerably larger than the right, owing to thesoft parts being much firmer and the muscles apparently better developed ;there was, however, no difference in length. Upon manipulation, atumour could be felt, of somewhat globular form, about three inches indiameter, occupying part of the left hypochondriac, left lumbar, and um-bilical regions ; its lower margin was well defined, but its upper boundarycould not be ascertained—the dulness on percussion, which was completeover all parts of the tumour, being there continuous with that of thespleen. The patient ate, drank, and slept well, was able to sit up thegreater part of the day, walked frequently up and down stairs, and did notcomplain of pain.
Text Appearing After Image:
Fig. 68. Enormous Cancer of the left kidney. Case of J. B. From a drawing by J. Z. Laurence. From this time the patient continued under observation until his death,a period of nearly twelve months. The tumour continued rapidly to grow,until it attained enormous proportions. On the 1st of August, the fol- ILLUSTRATIVE GASES, 541 lowing note was taken:—The tumour extends half an inch below theumbilicus, and about the same distance to the right of themesian line; theabdomen generally is much more swollen, and the veins are much larger.The patient walks about the garden for an hour or two every day, andthough taking a large quantity of food, and eating very frequently, isdaily becoming more emaciated. He appears to suffer no inconvenience,except that caused by the bulk of the tumour, the large size of the abdo-men being such as to impede progression. He complains of thirst, andevinces a desire to drink frequently of cold water. The bowels act withregularity ; and the urine, which is fre