CARCINOMA AND TUBERCULOSIS OF THE KIDNEY. 65 



membrane is fissured and broken down, containing extensive losses 

 of substance. Under such circumstances the urinary passages are 

 always much dilated, and their wall thickened. Tuberculosis of 

 the urinif erous apparatus is easy of diagnosis, when it can be ascer- 

 tained by palpation that the prostate and testicle also are diseased, 

 and when the urine is alkaline and mingled with pus and debris. 

 Extension of tuberculosis from the bladder to the ureters is so com- 

 mon an occurrence that it may always be anticipated in such cases. 



