The surgery of the kidney is much neglected in general practice on account of the difficulties of diagnosis which the surgical diseases of this organ present. The organ itself is hidden in the back. Its exploration through a mid-abdominal incision is unsatisfactory. The urine does not always present a suggestion of the condition of the kidney. The symptoms often lead the physician astray. Two such cases in my own practice seem to me worthy of record as a warning.
When we approach any diseased abdomen, our attention is fixed more or less intently on certain luminous spots, toward one or more of which the symptoms course or the findings almost inevitably point. The spots are the appendix, the gall-bladder, the pylorus, the kidneys and the appendages of the uterus. When we analyze the symptoms and findings of typical cases, there is little danger of error, but in atypical cases, such
HOLMES B. A CONTRIBUTION TO THE SURGERY OF THE KIDNEY.TWO CASES OF DISEASE OF THE KIDNEY SIMULATING GALL-STONES.. JAMA. 1901;XXXVII(3):172–174. doi:10.1001/jama.1901.62470290018002d
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