5. Chronic Non-desquamative Disease. — The kidneys are
usually large, very rarely atrophied. The cortex is thick and
white. The etoricoxib arcoxia convoluted tubes are more opaque than usual.
The Malpighian bodies and arteries are thickened.
6. The Granular Fat Kidney.— Thw, form arcoxia mg may be etoricoxib msd a con-
sequence of the non-desquamative disease, of acute desquama-
tive inflammation, and rarely of chronic desquamative disease.
The kidneys are large, the cortex buy arcoxia online white, mottled with yellow-
ish granulations. These yellow granulations are formed of
tubes, containing oil-globules. The vessels and Malpighian
242 CHEomc diffuse nephritis.
bodies are thickened. Sometimes tlie same yellow, fatty
granulations are found in atrophied kidneys.
1. The Mottled Fat Kidney. — All the tubes of the cortex
contain oil-globules, and there are red spots of congesfion or
extravasation.
Grainger Stewart distinguishes : arcoxia cost
1. The Inflammatory Form. — This has three stages : (1.)
That of inflammation ; (2.) That of fatty transformation ; (3.)
That of atrophy. These correspond very closely with the
three stages described by Frerichs, except that the existence
of exudation between the tubes, and of new connective tissue
in the stage of atrophy, is not buy arcoxia noticed.
2. The Waxy For7n. — This also has three stages : (1.) That
of simple degeneration of the vessels ; (2.) That in which a
secondary alteration of the tubes is superadded ; and (3.) That
of atrophy.
In the first stage, the kidney is of normal size, purchase arcoxia the tubes
are unaltered ; only the Malpighian bodies and small arteries
have undergone waxy degeneration.
In the second stage, the kidney is enlarged, the cortex
thick and white, the Malpighian bodies and small vessels
waxy ; arcoxia 90mg the tubes contain hyaline casts ; their epithelium is
swollen ; their basement membrane may be waxy.
In the third stage, the kidney is small. The surface is
rough, granular and pale. The tubular structures are swollen.
The tufts and vessels are buy etoricoxib waxy. A few tubes are distended,
most are collapsed, and are represented only by fibrous tissues.
3. The Cirrhotic, or Contracting Form. — This consists of
an hypertrophy of the connective tissue of the organ, and. a
consequent atrophy of all the other structures.
There is at first little diminution of the size of the organ,
but the capsule is thickened and adherent, and the sur-
face is rough and granular. The color etoricoxib tablets is pale and reddish.
The arteries are prominent, their walls thickened, and their
cavities often dilated. On the surface, and in the substance,
cysts are often seen. Some are produced by dilatation of tlic
Malpighian capsules, some by dilatation of the tubes, some
from morbid growth purchase arcoxia online of epithelial elements. The tubes are
compressed and atrophied by the new fibrous tissue. They
CHROKIO DIFFUSE NEPHRITIS. 243
contain little opaque material, but often hyaline matter.
Sometimes urate of soda is found in tlie stroma and tubes order arcoxia of
the pyramids. The disease is a non-inflammatory increase of
connective tissue.
Both the waxy and contracting forms may be secondarily
affected with the inflammatory disease.
4. Simple Fatty Degeneration. — The kidneys are of about
the normal size. The surface is smooth, the capsule not
adherent. Their texture buy cheap arcoxia is soft, the cortex is pale and
mottled, with sebaceous-looking deposits. The epithelium of
the tubes is fatty.
Dickinson describes arcoxia online tubal nephritis, granular degenera-
tion, and depurative inflltration :
1. Acute Ttihal Nephritis. — This, the nephritis of scarlet
fever and of exposure to cold, is described in very much the
same terms as the acute desquamative nephritis of Johnson.
2. Chronic Tubal Nephritis. — The kidney is large, the
cortex of an opaque white or buff-color, the pyramids
pink. The surface is smooth, the capsule not adherent. The
convoluted tubes are distended with granular and fatty epi-
thelium and with fibrinous exudation. The straight tubes
are packed with the products of epithelial growth, while
others contain transparent fibrine. The tubes are not
changed, save as regards their contents. The Malpighian
bodies are normal or somewhat dilated. There is no increase
of inter-tubular tissue. These kidneys remain large order arcoxia online and
smooth to the last, unless complicated with the depurative
change.
Sometimes the generic arcoxia cortex is sprinkled arcoxia price with white, sharply-
defined specks, like bits of bran. This change is charac-
teristic of a great amount of fatty change in the accumu-
lated epithelium.
3. Granular Degeneration. — arcoxia tablets The kidneys may be of
normal, or even increased size, but etoricoxib 60 mg are usually smalL The
capsule is adherent. The surface is irregular and covered
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