On the Functional Diseases of the Renal, Urinary and Reproductive Organs
by Donald Campbell Black (9780217735896)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: somewhat minutely the following history, which is a picture of simple, uncomplicated anuria, and represents what might be expected to take place if the kidneys were suddenly abstracted without the shock and injury of a cutting operation." Considering the source, Dr Roberts' unfamiliarity with records of similar cases is not a little surprising, as many cases identical in nature with his own, will be found in several old authors. Again, I would certainly demur to the application of the term " anuria" to a case of mechanical retention of urine. As these cases seem rarer than I anticipated (or at least a knowledge of them), the following case of genuine suppression, related by Boerhaave, may be referred to. A gentleman, from close attention to business, neglected to pass his urine; at length he lost the power of expelling it, and it was consequently drawn off by the catheter. On the third day after, the catheter being passed as usual, the bladder was found empty. On the fourteenth day he died. The symptoms on the sixth day were inaptitude for conversation, t sleepiness, overpowering but unrestful, offensive breath and perspiration, quickened pulse, convulsion, lethargy, and death; and it is added, " In cerebri ventriculis reperta est urina." This shows that urea was being formed in the tissues, while the kidney was incapacitated for its removal. This case may be taken as typical of the instances of suppression from pressure from without, above referred to. Why this should so happen it appears not a little difficult to explain. It seems just as if the action of the kidney had been reversed, and that the accumulation of urea took place so quickly as to cause death before the organs had time to recover their function. Dr Parr relates a case which occurred in his practice, in w...

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