Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 140.—Acute Nephritis with General Anasarca in a Child 4Months Old. (Sheffield.) Less favorable cases are of longer duration. From day today the edema assumes wider dimensions, involving the dorsi of Malignantthe feet, the legs, the genitalia, and, if not checked, the serouseffusion may rapidly fill the abdominal and thoracic cavities. Inthe majority of instances, however, gradual recovery from theimmediate attack occurs, although in these cases a relapse musta
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 140.—Acute Nephritis with General Anasarca in a Child 4Months Old. (Sheffield.) Less favorable cases are of longer duration. From day today the edema assumes wider dimensions, involving the dorsi of Malignantthe feet, the legs, the genitalia, and, if not checked, the serouseffusion may rapidly fill the abdominal and thoracic cavities. Inthe majority of instances, however, gradual recovery from theimmediate attack occurs, although in these cases a relapse mustalways be apprehended. 450 DISEASES OF KIDNEYS, BLADDER, ETC. Oliguria up to anuria. Uremia. Another group of cases is characterized by great diminutionof urine (oliguria) or total suppression and consecutive latter is manifested by intense headache, dizziness, vomiting,dimness of vision up to total blindness, disturbance of hearing,slight twitching up to repeated attacks of severe convulsions,slow, irregular pulse, dyspnea, somnolence, sopor and possiblycoma and Fig. 141.—Same case as Fig. 140. Three weeks later. (Sheffield. ) The incipient symptoms of nephritis offer no reliable indica-Scariatinai. tions as to the further course of the disease. Scarlatinal neph-ritis, for example, ushers in with vomiting, intense headache, con-vulsions, local or general dropsy, and yet clears up completelywithin two or three weeks; and, conversely, nephritis may set ininsidiously, apparently entirely free from any alarming symptoms,and, nevertheless, proceed a very protracted course and possiblylead to permanent degeneration of the kidney Furthermore, relapses may complicate matters often whenrecovery is imminent. NEPHRITIS ACUTA. 451 The prognosis, therefore, should always be guarded, eventhough the general condition of the patient is good. Even inmild cases untoward complications are apt to supervene. Serouseffusions in internal cavities are not rar
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
