Observations upon two cases of Cheyne-Stokes' respiration / by Frederick Taylor [and others].

  • Sir Frederick Taylor, 1st Baronet
Date:
[1907]
Catalogue details

Licence: In copyright

Credit: Observations upon two cases of Cheyne-Stokes' respiration / by Frederick Taylor [and others]. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    some oedema of his legs. The condition of his urine was variable. It always contained albumen, and moderate numbers of hyaline and granular tube-casts. The amount of albumen varied from a mere trace to 3 parts per thousand. The specific gravity was always low, and varied from 1006 to 1012, though on two occasions it rose to 1018. The quantity was above normal; even in the middle of August he passed as much as 92 ounces in 24 hours upon one occasion, and he frequently passed above 70 ounces. The diagnosis was granular kidney, and this was con- firmed by autopsy. , The heart was much hypertrophied, the impulse being- in the fifth left intercostal space, three quarters of an inch outside the left nipple, heaving in character. There were no bruits ; the first sound was prolonged at the apex, and in the aortic area the second sound was much accentuated. The pulse rate was usually between 60 and 70 per minute, and the maximum systolic blood-pressure, measured in the brachial artery by Martin’s modification of the Riva Rocci apparatus, varied from 165 mm. Hg. to 178 mm. Hg. During hyperpncea cardiac dulness could only just be detected to the right of the sternum; during apncea this dulness increased a full inch further to the right. The lungs were at first congested at the bases; the signs of this cleai-ed up. Just before death there was dry pleurisy over the right lower lobe. There was no emphysema. The gasti*o-intestinal viscera -were natural, as were also the nerve reflexes. There was well marked albuminuric retinitis in both eyes, with white patches of exudation, and hasmorrhages both old and recent. The patient, however, always said his eyesight was good. The persistent Cheyne-Stokes’ respiration is fully de- scribed below ; it was very characteristic all the time the patient was under observation. In addition to this there
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