On the pathology and treatment of albuminuria / by W. Howship Dickinson.

Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: On the pathology and treatment of albuminuria / by W. Howship Dickinson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Table showing the duration of fifty-four fatal cases of Tubal or Diffuse Nephritis, arranged according to the age of the patient. Under 4 yrs. old 4 to 10 10 to 20 Over 20 Of all ages tying within 1 week 2 4 6 Between 1st week and i 10 1 17 end of 1st month . J 4 2 Iu 2nd month . 2 6 2 1 11 ,i 3rd. ,, . , — 3 3 4 10 >> 4th ,, . — — 1 1 » 5th — 2 — 3 5 6th „ 3 3 Later .... — — — 1 1 Immediate Causes of Death. Before concluding tliis general sketch of the symptoms of nephritis it may he interesting to consider the circum- stances to which death is generally due. These vary with age; children and adults not only die, as has been shown, at different periods of the disease, but they die in a dif- ferent manner. I have collected the particulars of 50 cases fatal With under the age of 16 which were examined post-mortem— ?hi^rcn ° , -1 innamma- 40 from the Hospital for Sick Children, 10 from St. tion of res- George’s. 28 of these owed, their deaths mainly to in- flammation of the respiratory organs. This number in- cludes 16 instances of pneumonia; 10 of pleurisy, of which 5 had gone on to empyema; 8 of bronchitis; 6 of croup or diphtheria, the latter possibly due to extra- neous causes in the shape of hospital influence; 1 of oedema of the glottis. In many, as is evident from the figures, the inflammation was not limited to one struc- ture. Pneumonia .in particular frequently concurred with pleurisy and with croup; and oedema or serous infiltration of the lung, though nowhere appearing as the chief cause of death, contributed to it in many instances.