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Last July I received a communication from a friend out of the city, stating that a patient had come under his charge who had been suffering for two years with cystitis, the diagnosis being based upon pus in the urine.
When I returned from my vacation in September, I found the patient awaiting me at one of the hospitals in the city. Upon examination it was found that a tumor could be easily palpated in the right side of the body beneath the ribs, large enough to extend down to the superior spinous fossa of the ileum, and reaching up to the hypogastric region below the liver. Upon the usual attempts at palpation and percussion, the dulness over the tumor was found to be continuous with the dulness of the liver. But the tumor appeared to me to be so elastic as to present some of the characteristics of a
PARKES CT. A CASE OF NEPHRECTOMY. Read before the Chicago Medical Society, Nov. 7, 1887. JAMA. 1888;X(1):9–11. doi:10.1001/jama.1888.02400270021002b
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