The pulse / by W.H. Broadbent ; illustrated with 59 ophygmographic tracings.

  • William Broadbent
Date:
[1899?]
Catalogue details

Licence: Public Domain Mark

Credit: The pulse / by W.H. Broadbent ; illustrated with 59 ophygmographic tracings. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    well, that he was allowed by the resident to get up for a short time; but there was at once some return of swelling in the legs, the pulse became more compressible, the apex-beat and heart-sounds w^eaker, and the proportion of albumen rose from one-eighth to one-third. The heart was not equal to the main- tenance of the circulation in the erect position, and with the languid movement of the blood, which re- sulted, came the increased amount of albumen. On the patient's return to complete rest in bed, the albumen promptly diminished. He was now kept in bed, took his food, slept well, remained free from any dropsy, and had only a varying trace of albumen in the urine. Before it was considered safe to let him get up again —six weeks from the previous attempt—he had ton- silitis, with a temperature of 103° F., and, accom- panying this, severe ha^mogiobinuria, the urine having a dark blood-purple colour, and containing albumen to four-fifths of its bulk, but presenting no blood-corpuscles under the microscope. The blood and albumen disappeared rapidly, and w^ere succeeded by uric acid crystals in large quantity. Or the attack might be described as one of ha^moglobinuria com- plicated with tonsilitis. It seemed to me, however, that the tonsilitis was ])rimary, and that under the stress of high temjjerature haematolysis occurred. Like the defective reaction of the capillaries and heart, it showed that the patient was made of poor stuff. He remained in hospital some months longer, and, when discharged, was still suffei'ing from albumi- nuria. Similar examples might be given in quite young- children. Usually the prognosis from this condition of the circulation becomes fairly definite at the end of a fortnight. In primary large white kidney, the imperfect development of cardio-vascular reaction is almost the