Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
=Tube casts= are especially indicative of nephritis and exudation into
the uriniferous tubes. They are much firmer than the mucous cylinders
and have smoother and more even margins. If relatively thick and
straight they probably come from the straight tubes; if sinuous or
twisted, from the convoluted tubes. With a similar basis substance they
often enclose different solid bodies and have been named
accordingly:—=epithelial casts= when containing cylindroid, or
polyhedral cells may be unhesitatingly referred to the uriniferous
tubules:—=granular casts= in which the homogeneous cast is impregnated
with granular cells and free granules of proteid, fatty, or mineral
matter, point directly to inflammation affecting the uriniferous tubules
and their epithelial lining:—=blood casts= enclosing red blood globules
imply hemorrhage, or congestion or inflammation of the tubules, with
blood extravasation or diapedesis:—=casts containing leucocytes and pus
cells bespeak= suppurative inflammation of the tubules:—=calcareous
casts= entangle numerous crystals and granules, mainly of lime
carbonate, and effervesce with acetic acid:—=hyaline casts= are
homogeneous, clear, so transparent that it is sometimes necessary to
stain them with iodine or aniline to make them distinct; they are found
in nephritis and especially in the chronic forms:—=colloid casts= or
=waxy casts=, or =amyloid casts= may designate a class of firmer
cylinders, clear, homogeneous and refractive, and often bearing fatty or
blood globules, crystals or fungi. They may have a yellow color, or they
may give the amyloid mahogany reaction with the iodo-potassic iodide
solution (even in the absence of amyloid degeneration of the kidney;
Jaksch).
_Progress._ Acute nephritis may advance for three days or more and then
terminate in resolution, or go on to complete anuria with coma, to
suppuration, gangrene or chronic nephritis.
=Resolution= is marked by general improvement of pulse, breathing and
expression, clearing of the urine, and return of appetite. The urine may
remain albuminous for eight days longer.
=Complete suppression of urine= has persisted five days in cattle
(Funk), and seven days in horses (Friedberger), accompanied by intense
fever, dullness, stupor and coma ending in death from uræmia.
=Purulent urine= is white, milky, albuminous, granular, with epithelial
cells and casts and pus cells, showing their double nuclei with acetic
acid. There are usually rigor, hyperthermia (106° F.), thirst,
intermittent colics, diarrhœa, perspiration, uncertain walk, and stocked
legs. Convulsions have been noticed in the horse (Didie), cow (Pflug)
and bitch (Trasbot). The horse may turn in a circle (Friedberger) or
have amaurosis (Didie). Death usually occurs in two weeks.
=Gangrene= is likely to prove fatal. Berger has seen death occur in
three days in the horse, and Trasbot in four days in a cow, after a
large cantharides blister.
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