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As stated above, if pericarditis develops during the progress of chronic disease, such as interstitial nephritis, or during sepsis, or from abscesses or growths in the region of the pericardium, the prognosis is bad. In acute pericarditis, absolute mental as well as physical rest is essential.
Since March 17, 1915, the date of its foundation, up to the day of our visit, the Egyptian Red Cross Hospital has treated 2,245 wounded or sick prisoners. Internal ailments: 38; we may mention among the most serious cases of this kind noticed by us, 4 suffering from bilious haemoglobinurea, all from Bagdad; 6 from dysentery, anaemic and enfeebled patients; 4 from chronic nephritis.
In renal insufficiency associated with cardiac insufficiency, its action is subject to careful watching. If there is marked advanced interstitial nephritis, digitalis may not work satisfactorily and must be used with caution. If, on the other hand, a large part of the kidney trouble is due to the passive congestion caused by circulatory weakness, digitalis will be valuable.
J.R. Brooke, who had long ago been warned against the danger of again getting nephritis, but in spite of this refused to stay away from the Battalion, and insisted on braving even the worst weather and the wettest trenches. About the same time, Captain Burnett went to England, going to Hospital from the Army School.
Specific or idiopathic, in which there are no evident causes present; it is sometimes seen in cases of nephritis and diabetes. Neurotic, in which the primary cause is in the nervous system, hysteria, epilepsy, shock, or cerebral tumors. The obstinacy of continued hiccough has long been discussed.
If we compare the accounts in the literature of the two conditions here in question, namely, nephritis and phthisis, we must be convinced, that aside from so-called autotoxic phenomena, renal disorder seems to be marked by a tendency to depressive emotions but that phthisis shows not only depressive emotion but also euphoric and hyperkinetic phenomena.
=Chlorate of Potassium= produces irritation of stomach and bowels; hæmaturia; melæna; cyanosis, weakness, delirium, and coma. Post-Mortem. Blood is chocolate-brown in colour, and so are all the internal organs; gastro-enteritis; nephritis. Tests. Spectroscope shows blood contains methæmoglobin; the drug discharges the colour of indigo in acid solution with SO . Treatment.
It is probable that the inflammation of the skin in scarlet fever, preventing normal secretion, may be a cause of a sometimes increased blood pressure and also of the nephritis, both of which conditions may predispose to the cardiac complication. Erysipelas may cause acute inflammation of the heart, perhaps for the same reason.
For athletes and those who work hard physically, a slow pulse is normal. Such hearts are often not even normally stimulated by high fever, so that the pulse is unusually slow, considering the patient's temperature, unless inflammation of the heart has occurred. Some chronic diseases cause a slow pulse; this is especially true of chronic interstitial nephritis.
In fact, we come right to the discussion of the proper treatment and management of beginning high blood pressure, of the incipiency of arteriosclerosis, of the prevention of chronic interstitial nephritis, and the prevention of cardiovascular-renal disease.
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