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G. M. C, æt. 68, weight 164 pounds, 6 feet 2 inches tall, was sent to me through the kindness of Dr. E. W. Watson, on October 31, 1888, with the following history:
On April 6, 1886, he had an attack of retention of urine. Violent expulsive efforts forced out a clot. The bleeding continued two or three days. With this he had pain in the right lumbar region. A month later another similar attack occurred, the pain on this occasion being quite severe and amounting to a distinct renal colic. Other attacks, always accompanied by pain and bleeding, occurred in July, 1886, and in January, September and November, 1887. After the last one, for several weeks he had repeated and nearly continuous hæematuria with a sensation of heat in the right lumbar region, and he lost strength and appetite.
January 14, 1888, he was taken extremely ill with pleuro-pneumonia
KEEN WW. UNCOMPLETED NEPHRECTOMY. CALCAREOUS VESSEL MISTAKES FOR A CALCULUS BY THE NEEDLE TEST —OPERATION ABANDONED ON ACCOUNT OF ADHESIONS—DEATH—AUTOPSY—PRIMARY ENCEPHALOID OF THE KIDNEY: Read at the Regular Meeting of the Philadelphia County Medical Society, March 27, 1889. JAMA. 1889;XII(22):762–764. doi:10.1001/jama.1889.02400990006002b
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