. Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women. n enormous tumor is shown in Figure 264. The enlargedveins pictured in this case are quite common. As a rule, the percussion frombehind gives a dull note, and there is tympany in front, due to the colon. Per-cussion findings, however, are extremely uncertain, and often do not followthis characteristic type. The influence of posture on the appearance of a hydronephrotic kidneyand also the influence of distention are well shown in Figures 257 and262. Occasionally hematuria has been noted in associati

. Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women. n enormous tumor is shown in Figure 264. The enlargedveins pictured in this case are quite common. As a rule, the percussion frombehind gives a dull note, and there is tympany in front, due to the colon. Per-cussion findings, however, are extremely uncertain, and often do not followthis characteristic type. The influence of posture on the appearance of a hydronephrotic kidneyand also the influence of distention are well shown in Figures 257 and262. Occasionally hematuria has been noted in associati

Reading Room 2020 / Alamy Stock Photo

Image ID: 2CEP1GF

This image is a public domain image, which means either that copyright has expired in the image or the copyright holder has waived their copyright. Alamy charges you a fee for access to the high resolution copy of the image.

. Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women. n enormous tumor is shown in Figure 264. The enlargedveins pictured in this case are quite common. As a rule, the percussion frombehind gives a dull note, and there is tympany in front, due to the colon. Per-cussion findings, however, are extremely uncertain, and often do not followthis characteristic type. The influence of posture on the appearance of a hydronephrotic kidneyand also the influence of distention are well shown in Figures 257 and262. Occasionally hematuria has been noted in association with hydronephro-sis. Such a case was reported by Dr. L. B. Bangs (Med. News, N. Y., 1905,Ixxxvi, 253). The symptoms of hydronephrosis are, of course, modified by infection.Here we may have all the manifestations of a pyonephrosis, viz., fever, chills,pain, pus in the urine, etc. Some of the hydronephroses in which there is asudden and violent onset of infection may look like general peritonitis.HoM^ever, they are usually readily distinguishable by a careful generalexamination. ^--^^ mmmm.