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If the kidneys show irritation, as manifested by the presence of albumini and casts in the urine, or if they show insufficiency in the twenty-four-hour excretion of one or more salts or other excretory product, the diet and life must be more carefully regulated than advised in hypertension, and the treatment becomes practically that of chronic interstitial nephritis.
Mental disease began after father's death. Constant self condemnation. Suicidal. Exophthalmic goiter. Autopsy: Thyroid glandular hyperplasia. Mitral sclerosis. Aortic sclerosis with ulceration. Chronic endocarditis. Chronic diffuse nephritis. Scars of both apices of lungs, with small abscess of left apex. Emaciation. Brain weight 1050 grams.
These are nephritis, uncompensated valvular lesions of the heart, advanced tuberculosis, insanity, irremediable malignant tumors, hydatidiform mole, uncontrollable uterine hemorrhage, and acute hydramnios."
The adult for whom the morphine had been prescribed recovered immediately under the beneficent influence of the calomel, but the baby for whom the calomel had been ordered died from the effects of the first morphine pill administered. All this had occurred in 1897 five years before. The remainder of the pills had disappeared. Acute gastritis. Acute nephritis. Cerebro-spinal meningitis.
Brooke, who had to go to Hospital with nephritis. On the 29th we moved to Doullens, where we spent an enjoyable week, and were introduced to yet another innovation. In August, 1915, the French had introduced a steel helmet for their machine gunners, finally extending the issue to all ranks.
When twenty-two, the warning cough sobered him a bit, and in John's faithful and congenial company, he went first to Denver, then to New Mexico. John suddenly quit drinking. "Acute nephritis" was on the shipping paster. Delirium tremens was the truth. Will was too frail to accompany his brother's remains home.
Motley had a sharp attack of nephritis, attended with fever; but on returning to England in July there was no important change in the health. The weakness of the side continued, and the inability to undertake any mental work. The signs of cardiac hypertrophy were more distinct. In the beginning of the year 1875 I wrote as follows: February 20, 1875. MY DEAR Mr.
Healed gastric ulcer. Moderate arteriosclerosis, slight cardial hypertrophy. Granular cystic kidneys. Mucous polyp and subperitoneal fibromyoma of uterus. Autopsy: Aortic and innominate aneurysm, hypertrophy and dilatation of heart. Interstitial nephritis. The brain, normal macroscopically, proved microscopically to show, in all areas examined, superficial gliosis.
Chronic nephritis, as well as acute diabetes and Addison's disease are thought by Ziehen to produce certain chronic forms of mental defect which he terms autotoxic dementia, but he regards most of these cases as really cases of arteriosclerotic dementia. It does not appear that Wernicke has considered renal correlations systematically.
Any great drain on the system, whether from diabetes without nephritis, or from profuse diarrhea of any type, will cause hypotension. Occasionally a girl with chlorosis who is not menstruating may have an increased blood pressure. Many of the hemorrhagic or purpuric conditions will show a hypotension. Meningitis in various forms may show a hypertension from cerebral and nervous irritation.
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