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
When the small white kidney (granular, fatty) results from chronic
nephritis, the prevention and treatment would be as for that disease.
Little hope is to be entertained of entire restoration to health.
AMYLOID KIDNEY. LARDACEOUS OR WAXY KIDNEY.
This condition of the kidney has been found in the ox (Gerlach) and dog
(Rabe, etc.). There are usually similar degenerative lesions in the
liver, pancreas, intestines and other organs. It is usually a
concomitant of some chronic wasting disease (chronic nephritis,
tuberculosis, etc.).
_Morbid Anatomy._ The kidney is usually enlarged, pale and on section
waxy or glistening. Soaked in dilute compound tincture of iodine it
shows spots of a walnut or mahogany brown color. The glomeruli are well
marked and show the earlier changes, later the tubes do so excepting the
epithelium. The latter is swollen, granular, fatty.
_Symptoms._ There may have been those of chronic nephritis. Rabe has
noticed in dogs dropsy of the limbs, ascites, emaciation, anorexia,
followed by uræmia, coma, weakness, vomiting, and if the kidney alone
was affected great lowering of temperature (35.9°C). With hepatic
complication there was greater weakness, giddiness, and higher
temperature (39.6°C). Urine is usually increased (in man albuminous) and
the casts have shown the anyloid reaction. They tend to be fatty or
finely granular. Casts may, however, show anyloid reaction when the
kidney, post mortem, does not (Jaksch).
_Diagnosis_ from Bright’s disease is often impossible.
_Treatment_ is essentially the same as in chronic nephritis, and is not
hopeful.
Trasbot recommends KI 3 to 7 grs., or tinct of iodine 3 drops for
shepherd dog. Ol. terebinth and alkaline diuretics are also commended.
RENAL CALCULUS.
This is much more common than is supposed. Small calculi formed in the
tubuli uriniferi of cattle on dry winter feeding often pass without
recognition, and habitually disappear on rich spring and summer grass.
If retained in the pelvis until increasing size forbids their passage
through the ureter they form pelvic calculi.
If retained in the bladder so that they cannot enter the urethra they
form cystic calculi.
Pelvic calculi or concretions are often (in cattle and swine) mere
scales lying in chalices. They may fill the whole pelvis and send
branching processes into chalices.
_Causes._ They are attributed to phosphaturia, lithæmia or uric acid
diathesis, oxaluria, etc. In cattle they are associated with dry feeding
and are common on all magnesian limestone soils. There are usually
catarrh of the kidney and the presence of bacterial ferments and
colloids (pus, albumen, etc.). (Sharing and Ord.) Calculi or gravel is
preceded by renal catarrh, but this is aggravated by the crystalline
deposit. Bacteria act also in producing NH_{3}O, which instantly
precipitates ammonio-magnesian phosphate. Retention of urine greatly
favors the precipitation.
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