Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . In severe inflammation of thekidneys the urine contains a large quantity of blood (hemorrhagicnephritis), and is dark-red or smoky in color. As already alluded to, the onset of nephritis often escapesdetection. This is especially true in the secondary form. Hencethe importance of systematic examination of the urine during thecourse of acute communicable diseases. It is well to remember,however, that not every albuminuria is of nephritic origin. Asmall quantity of a


Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . In severe inflammation of thekidneys the urine contains a large quantity of blood (hemorrhagicnephritis), and is dark-red or smoky in color. As already alluded to, the onset of nephritis often escapesdetection. This is especially true in the secondary form. Hencethe importance of systematic examination of the urine during thecourse of acute communicable diseases. It is well to remember,however, that not every albuminuria is of nephritic origin. Asmall quantity of albumin and a few casts are not rarely foundin acute febrile diseases (, in the beginning of scarlatina)without kidnev lesions and are only transitory in nature. NEPHRITIS ACUTA. 449 Cases running a favorable course begin markedly to improveafter about two weeks. The albumin diminishes; the urine in-creases in quantity, becomes light and clear, and the microscopicabnormal constituents subside. Edema, if present, is slight, andusually limited to the eyelids and rapidly disappears with theimprovement of the other 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 con


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191