Licence: In copyright
Credit: Arterial hypertonus, sclerosis and blood-pressure. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![in extremis from uraimic dyspnoea with acute cnf^'orgciiient of the hmgs. She liad been under treatment on one or two occasions for some eye condition. On admission to the medical wards her condition was as follows. The radial arteries were very hard and thick, the heart was enlarged and thumping; the urine contained albumin, casts, and some red blood cells. The urea was 4 grains per ounce. There was no cedema. In June the ha.'momanometer gave a reading of 280 to 290 on the only occasion I at that date used the instrument for her. This patient was in hospital for months, the rough history of her condition being that from time to time she threatened to become ursemic, and was actively treated when- ever the symptoms manifested themselves. The blood- pressure taken on different days and at different hours during September are given below to illustrate the variations, while some remarks are added. Sept. 10. 12 „ 13. 14. 15. 22. 23. 24. 26. Forenoon 4.30 p.m. 9.30 „ 1.30 a.m. 1 p.m. 3 „ 7.15 p.m. Midnight Noon • 21. 10 p.m. 8.30 p.m. 8.30 „ 11 p.m. Midnight 8.30 p.m. 1 p.m. Mm. (Oliver) 260 Constipated Bowels have been freclj'' moved. 250 2551 245 260 250 255 245 270 Nothing special to note regarding her condi- tion. J 18th ; by hot rUrtemic since 265-! been treated [ pack, etc. 250 After hot pack. 255 255 245 245) Urocmic s^nnptoins 2301 ' ' 240J subsided, condition juuch improved. The pressures in this patient are thus shown to have varied between 270 and 230,—below the latter figure pressure did not fall. It was noted in this case that if the bowels were not moved the pressure rose, wliile after being- moved there would be a fall, as seen on the 10th and 12th, when it fell from 2G0 to 250. The effect of liot ])acks in](https://iiif.wellcomecollection.org/image/b21516674_0115.jp2/full/800%2C/0/default.jpg)
