Abstract of Minutes, Compiled By the Secretary of the Association, 1889-1895

Cover Abstract of Minutes, Compiled By the Secretary of the Association, 1889-1895
Abstract of Minutes, Compiled By the Secretary of the Association, 1889-1895
Association of Life Insurance Medical Directors of America
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The mucous cylindroids are always the first to appear in cases of irritation and passive congestion of the renal tissues, and are generally regarded as showing only a temporary cause. They are often spoken of as false casts, in contradistinction to the true casts.
The hyaline casts are always the first true casts to appear in any disease, for they are the indicators of commencing irritation or congestion of the renal tubules. With this be- ginning congestion we find the smaU clear hyaline cast;
... and Digitized by Google Craig — Tube Casts. 35 ^ as the disease progresses we find these casts, in some cases, early beginning to be slightly granxilar, or simply granxilar in one portion of their extent.
This grantdar material is not broken down renal tubxile cells, for in these cases the tubtdes have not exfoliated their epithelial linings, and, moreover, we never find any epitheUal casts present; besides this the size of the casts indicates a small motdd for their formation.
I think that the granxilarity must be due to some deposi- tion of the more insoluble urinary salts on them, such as urates produced by falling out of solution in highly acid con- ditions of the urine, and thus being in position to readily attach themselves to the soft, easily impressionable small hyaline cast.


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