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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1862 Excerpt: ...vessels have been cut in removing the organ from the body, and the smaller ones in getting a portion for microscopic examination, the blood still fills the malpighian tufts, it is received as evidence of antemortem congestion, and a congestion affecting these bodies disproportionately, perhaps. I do not know that this state has any other significance. When seen, it does not characterize any particular stage of disease, though most frequently met with in the earlier periods, and rarely if ever in the contracted kidney. In such cases, the urine of the last twenty-four hours, or last days of life, is frequently scanty, high colored, and contains blood. The last marked case which I have met with was in a young man who had had paraplegia for two years, and Bright's disease for several months. The kidneys weighed between six and seven ounces each, and contained an excess of fibres and some cysts. The malpighian bodies ace also subject to important alterations in the fibrous or contracted kidney. The capsule or investing membrane, usually thin, delicate, and hyaline, often becomes thickened and fibrous, and greatly contracted. When this happens, the fibres which have been added are usually distinctly visible by the microscope, giving to the membrane an aspect very different from that which it has when natural. The body is by this means contracted, sometimes even to a quarter of its proper dimensions. With this contraction there is a dwarfing of the inclosed tulls, and not unfrequently a complete absorption of them; and it is noticeable often that the tufts are shrunken in a greater degree than the capsule is contracted, Bo as to leave an unoccupied space within the diminished apsular cavity. Thus, many of these important bodies are, in some instances partial...

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