Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.Various
History
Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.
Various
Science -- Periodicals
From this time to the beginning of winter, Lord Walpole (as Mr.
Graham, his apothecary, informed me) continued in the same state of
health; but some time after coming to town, his Lordship was seized
with a lingering feverish disorder, very much affecting his spirits,
but intirely unconnected with the stone. Dr. Shaw, who attended his
Lordship for about a fortnight before his death, told me, that there
had never been any stoppage of water, or passing of bloody urine, or
any pain about his bladder or kidneys, during his last illness; but
that he now and then felt some irritation in making water, a symptom
too inconsiderable to require any other medicine than the continuation
of his lime-water; which, in smaller quantity, he drank till within two
or three days of his end.
Mr. Ranby and Mr. Hawkins, surgeons, with Mr. Graham, were present at
the opening of the body; and from the two last I received the account
of the dissection.
The coats of the bladder appeared to be a little thicker than natural,
but were otherwise sound. The _glandula prostata_ was of a large size,
but not distempered. They found three _calculi_, two lying loose in
the bladder, and the other, a very small one, sticking in the passage,
at that part, which is surrounded by the prostate gland. Mr. Graham
favoured me with a sight of them all. The two first were very much
alike, being of the shape and size of the kernel of a Spanish nut; only
the sides were irregularly flattened, but without forming any sharp
angle. The surface of each was every where smooth, except where there
had been a separation of some small scales, not so thick as one’s nail;
and the largest exfoliation from one of these stones appeared to have
been nearly about the breadth of the nail of my little finger. The
polish otherwise, as well as the colour of both, might be compared to
a boy’s marble. One of these _calculi_ weighed 21 grains, the other
22 grains: they were heavy for that bulk, and seemingly of a hard
substance. The smallest stone having been put up with some others of
the same size, taken out of the gall-bladder, Mr. Graham could not be
positive which of them it was; and therefore I can only say, that what
he thought most likely to be so, was about the size and shape of the
seed of an apple, with the point broken off, and the edge ragged. This,
as I observed, was found in the passage, seemed to be coming away, and
probably had occasioned that irritation the patient had now and then
felt during his last illness. It weighed only about a grain.
No parts could have a sounder appearance than both the ureters and
kidneys. The first were not dilated; nor did the last contain any
stone, mucus, or gravel: the pelvis in each was of a natural size.
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