RT Journal
A1 ROBINSON EF
T1 KIdney conditions simulating renal calculi
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1909
FD April 17
VO LII
IS 16
SP 1255
OP 1256
DO 10.1001/jama.1909.25420420035003i
UL http://dx.doi.org/10.1001/jama.1909.25420420035003i
AB The admonition of the elder Gross, "never operate for stone unless you have one in your pocket," seems especially applicable to renal calculi. The reason for this failure lies not only in the inability of the surgeon to find the stone when present (although this, I grant, at times occurs to the most experienced), but also because there are a number of pathologic conditions whose symptoms simulate stone in the kidney most accurately. Some of these I wish to present for consideration as exemplified by several typical cases:The first case is one of infected infarcts of the Kidney, with symptoms simulating renal calculus.Case 1.—History. 
    —J. N. S., aged 47, thin and spare, by occupation a cattle speculator, had had for ten days previous to operation constant pain referred to the region of the loin and right kidney. The pain was so severe that morphin had no effect,