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ITS OCCURRENCE IN AN UNUSUAL CASE OF ACUTE RHEUMATIC FEVER

PHILIP SHAMBAUGH, M.D.

Arch Intern Med. 1932;50(6):921-925.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The occurrence of azotemia in the absence of nephritis is recognized and has been discussed extensively in the literature. Little attention, however, has been paid to the possibility of nitrogen retention in the blood being due primarily to anuria resulting from hypotension. Both Roch¹ and Merklen² in their papers on the subject call attention to anuria or oliguria as a frequent extrarenal cause of azotemia, but they do not mention hypotension among the causes for this oliguria. Azotemia due to hypotension appears to be a rare occurrence, or else blood studies with this point in mind have not been made in cases of marked hypotension. It seems probable that the latter is the case.

Studies³ on the physiology of the kidney have shown that in the experimental animal a minimum blood pressure of from 30 to 40 mm. of mercury is necessary for the secretion of urine. . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Medical Clinic of the Peter Bent Brigham Hospital.

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