Modern Urology volume 2

Cover Modern Urology volume 2
Modern Urology volume 2
Hugh Cabot
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The more severe type of pain is usually described as dull and dragging, or at times colicky in nature, 420 A\OMALIES OF KIDXEY IX JURIES OF KIDXEY usually worse on walking, exertion, or in the upright position and (luring menstruation, and is relieved by lying down or by rest in bed. The discomfort or pain may be of a chronic or continuous nature or there may be distinct attacks. In some cases the symptoms appear only when the patient is run down or at the menstrual periods.
In 1S64 Dietl descr
...ibed the symptom-complex presented by the "renal crises" which have since borne his name. These attacks result- ing from the twisting of the pedicle of a movable kidney are charac- terized by pain of a most severe type. This may arise either from obstruction of the ureter and a rapid distention of the pelvis and calyces by the retained urine, or may be due to the marked conges- tion of the kidney and tension on its capsule because of interference with the venous outflow. ^Yith the violent pain, chiefly in the lumbar region, there are constitutional symptoms, such as nausea, vomiting, chills and fever, and the general evidence of shock.

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