Studies on acidosis and dyspnea in renal and cardiac disease / Francis W. Peabody, Boston.

  • Francis Weld Peabody
Date:
1914
Catalogue details

Licence: In copyright

Credit: Studies on acidosis and dyspnea in renal and cardiac disease / Francis W. Peabody, Boston. Source: Wellcome Collection.

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    apnea. Lungs are clear on percussion, but the breath-sounds are distant. Heart is enlarged. There is no edema. Pulse-rate 88. There is constant muscular twitching.” January 10: Patient sank into unconsciousness and died. Diagnosis of chronic nephritis confirmed by necropsy. TABLE 2.—Findings in Case 2. Chronic Nephritis Ending in Uremia Date, Volume Urine c.c. Ph. in Urine Non- Protein Nitrogen H-ion Concentration of Blood Tension of Alveolar CO2 in mm. Remarks in Blood mg. per 100 c.c. Tension of CO2 in mm. Ph. 1913 12/19 5.5 42.7 7.37 36.3 M a r k ed dyspne 12/20 2,100 5.25 96.1 • • • • 35.8 Pallor. Phtha ein = 28 pe cent, in tw hours. 12/21 12/22 2,420 3,110 4.9 4.85 • • • • 39.0 Blood-pressure - 12/23 2,300 5.00 37.7 230 mm. 12/24 1,930 5.05 .... .... 35.6 12/25 12/26 1,065 5.05 5.1 .... 42.0 7.45 35.4 12/31 1,150 4.9 .... .... 37.7 1914 1/ 1 1,430 4.7 .... .... . .... 38.9 1/ 2 1/ 3 1/ 4 1/ 5 1,590 500 1,160 920 4.8 • 4.8 4.9 • • • • 129.8 39.1 Phthalein outpu 1/ 6 0 • • • • 41.3 = 0. Blood - pressure - 1/ 7 750 4.7 278.9 40.7 7.45 38.8 230 mm. 1/ 8 560 4.7* 330.0 45.4f 7.15 .... No dyspnea. 1/ 9 347.0 41.0$ 41.0 7.21 7.04 36.8 Blood - p r e s s ur fallen to 180 mm Too sick to gf 1/10 .... .... .... .... alveolar air. Died at 4 a. m. * Below; fa. m.; $p. m. The studies of the urine during the first few days show little that is significant. During the last days it was impossible to collect twenty- four-hour specimens, so that the figures are not of great value. The hydrogen-ion concentration, however, as one would have expected, tended at all times toward low limits. The non-protein nitrogen of the blood shows a progressive increase, reaching at the end the extremely high value of 347 mg. per 100 c.c. blood. The determinations of the /
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