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Updated: June 27, 2025
You can always tell whether a native has had a glass too much rum, or half a gallon or so too much palm wine; the first he soon recovers from, while the palm wine keeps him a disgusting nuisance for days, and the constitutional effects of it are worse, for it produces a definite type of renal disease which, if it does not cut short the life of the sufferer in a paroxysm, kills him gradually with dropsy.
In renal insufficiency associated with cardiac insufficiency, its action is subject to careful watching. If there is marked advanced interstitial nephritis, digitalis may not work satisfactorily and must be used with caution. If, on the other hand, a large part of the kidney trouble is due to the passive congestion caused by circulatory weakness, digitalis will be valuable.
While Gilbert is very scrupulous in his examination of the gross appearances of the urine in most diseases, his discussion of the diseases of the kidneys and bladder includes only pain in the kidneys, abscess of the kidneys, renal and vesical calculus, hematuria, incontinence of urine, dysuria and strangury. The chapter on hematuria presents a very curious specimen of medieval pathology.
Gourges mentions the spontaneous excretion of a five-ounce calculus; and Thompson speaks of the discharge of two calculi of enormous size. Of the extravesical calculi some are true calculi, while others are simply the result of calcareous or osseous degeneration. Renal and biliary calculi are too common to need mention here. There are some extraordinary calculi taken from a patient at St.
While the continued use of alcohol may not cause arteriosclerosis directly, it can cause such impaired digestion of foods in the stomach and intestine, and such impaired activity of the glands, especially the liver, that toxins from imperfect digestion and from waste products are more readily produced and absorbed, and these are believed by some directly or indirectly to cause cardiovascular- renal disease.
It is surprising how much the expert had discovered in forty minutes, and how carefully considered and relentlessly logical were his reasons for deciding that it was an "auto-toxic meningismus, secondary to renal and pancreatic insufficiency," which, translated, signifies a self-produced poison due to defective action of the liver and pancreas, resulting in circulatory disturbance in the covering of the brain.
The calculi in this case consisted chiefly of phosphate of magnesium and ammonium. Cordier of Kansas City, Mo., successfully removed a renal calculus weighing over three ounces from a woman of forty-two. The accompanying illustration shows the actual size of the calculus. At the University College Hospital, London, there are exhibited 485 gall-stones that were found postmortem in a gall-bladder.
Decoctions of Egyptian mummies were much commended, and often prescribed with due academical solemnity; and the bones of the human skull, pulverized and administered with oil, were used as a specific in cases of renal calculus.
Worcester found an isolated brain lesion correlatable with the hallucinosis; and in any event the emotional state of the patient is in grave doubt. But only about a third exhibit GROSS interstitial nephritis, arguing a certain severity of process. The above cases, it will be observed, fall into the GROSS class in respect to renal lesions.
One must also keep in mind renal calculus in determining bowel diseases. Authors pretty generally unite in declaring that appendicitis is a dangerous disease. In his late book, "The Abdominal and Pelvic Brain," Dr.
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