On malpositions of the kidney / by David Newman.

Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: On malpositions of the kidney / by David Newman. Source: Wellcome Collection.

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

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    The external wound was completely united on the tenth, and the deep stitches came away on the fourteenth day. There was no suppuration at any time either from the surface or from the deeper parts. The drainage-tube was gradually shortened after the eighth day, and the antiseptic dressings were discontinued on the fifteenth. Only on one occasion (on the second day) did the tempera- ture reach 100° F., and only on three occasions was it over 99° F. The pulse was never more than 90, indeed very seldom over 80 per minute. The condition of the urine was ^remarkable in so far that it remained almost perfectly normal during the whole course of the case. The following table will show the quantities for the first ten days after the operation. 1 Quan- tity. Sp.Gr. Urea. Mar. 29, 23 oz. 1025 2-1 p. c. 30, 17 oz. 1027 2-2 „ » 31, 24 oz. 1024 2-0 „ April 1, 15^ oz. 1026 2-2 „ )} 2, 23 oz. 1024 2-1 „ » 3, 20 oz. 1024 2-0 „ » 4, 25 oz. 1023 2-0 „ 5, 27i oz. 1023 1-9 „ jj 6, 1022 1-8 „ )> V, 24 oz. 1026 2-0 „ Strictly normal. Suspicion of a trace of albumen. No blood No albumen or blood. Deposit of iirates. Remarks. Normal. )} 3) 33 33 During the time these observations were made the patient was taking very little food, the quantity being reduced as much as possible for fear of causing vomiting. This accounts for the smallness in the quantity of urine. On the 30th, the day after the operation. Dr. Middleton, who attended the case for some time along with me, was suspicious of a slight trace of albumen, but really the indication of it was so slight that we could not be certain of it. By carefully regulating the diet vomiting was completely prevented. The first time she did vomit was on the 14th of April, after taking an egg for breakfast, which she blamed for causing it. The symptoms referrible to the movement of the right kidney have never troubled her since the operation but she still complains of the left kidney occasionally, when she IS without a bandage round the abdomen. I made the following note on the 1st of June •— Since the operation, patient has not complained of pain in