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January 25, 1896


JAMA. 1896;XXVI(4):180-181. doi:10.1001/jama.1896.02430560032002k

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Since Dr. Morris, of Middlesex Hospital, elaborated the operation for the removal of a stone from the kidney, the procedure has been frequently and successfully employed. The diagnosis of that condition is often difficult. In a sweeping way it might be stated that the inconstancy of the symptoms has prevented precision in the recognition and location of the disease. Again, other pathologic renal affections have shown symptoms suggestive of stone in that organ. Repeated attacks of renal colic, blood and pus in the urine, with the occasional passage of sabulous matter per urethram are strongly suggestive of it. Jordan Lloyd's valuable test led the writer to the diagnosis of stone in the kidney in the case about to be narrated. The hypothesis of renal calculus was offered, however, with mental reservations; for one surgeon, Dr. Jacobson, of Guy's, has reported not less than twenty-five exploratory lumbar incisions, where the symptoms

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