Notes on Bright's disease of the kidney, as observed chiefly in the clinical ward of the Jamsetjee Jejeebhoy Hospital, at Bombay / by C. Morehead.

Date:
[1851?]
Catalogue details

Licence: Public Domain Mark

Credit: Notes on Bright's disease of the kidney, as observed chiefly in the clinical ward of the Jamsetjee Jejeebhoy Hospital, at Bombay / by C. Morehead. 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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    It is the object of the present communication to take the first step towards supplying this deficiency. It consists of the nar- rative of 31 cases of Bright's disease, which have passed under my observation, chiefly in the Clinical Ward of the Jamsetjee Jejeebhoy Hospital, duping the last thirty-three months.* But it is not to be concluded that these thirty-one cases include all the instances of the disease admitted into the hospital during this period. It will be observed that of these cases the nature of five of them was incidentally discovered on dissection after death ; and while I write these observations Mr. Sub-Assistant Surgeon Sebastian Carvalho has placed in my hands the notes of three other cases which have lately come under his notice, and that of Mr. Lisboa, in the course of their pathological inquiries in the hospital. These additional cases will, I doubt not, be sub- mitted to the Society on some early suitable occasion. From these circumstances, then, it may be inferred, that cases of the disease have been occasionally overlooked, and that those now about to be narrated do not comprise the total admissions from Bright's disease during the last thirty-three months.-f- It may, therefore, I believe, be admitted that this structural degeneration of the kidney is of as frequent occurrence among the hospital-frequenting classes of the native community in Bombay as in the large cities in Europe. But we may ven- ture to draw a still more comprehensive inference than this; for we may not, on the authority of these cases, assume that the fre- quency of the disease in Bombay is to be attributed to the in- fluence on the resident native population of the example of the * During this period the total admissions into the Hospital may be estimated as follows :— Hindoos 3,8-20 Musulmans 3,453 Christians, Portuguese natives of Goa or Bombay 1,889 Parsees 688 Women of all castes 1,627 Total 11,477 Average number of daily inmates in the Hospital 255 + Since these notes were written, seven additional cases have been received into the Clinical Ward.