Blood-pressure primer : the sphygmomanometer and its practical application / by Francis Ashley Faught.

  • Faught, Francis Ashley, 1881-1963.
Date:
1914
Catalogue details

Licence: Public Domain Mark

Credit: Blood-pressure primer : the sphygmomanometer and its practical application / by Francis Ashley Faught. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Acute Nephritis in Children.—Lennox Gordon reports 9 cases, in all of which the blood-pressure was raised, in some cases to a very high level, and in them this was of very marked diagnostic value. He believes that by means of the sphygmomanometer only could the change in blood-pressure in children be ascertained to any degree of certainty. Chronic Nephritis.—^A gradually developing chronic nephritis is shown by a gradually rising blood-pres- sure, accom.panied by the usual alterations found in the urine. A high blood-pressure reading, of more than 200 mm. found during the examination of any patient should place one on guard and start a careful examination for other signs of this condition. The blood-pressure in chronic nephritis is persist- ently elevated, and may be extremely high. Pressures of over 300 mm. have been reported. A sudden further rise in pressure occurring during the course of a chronic nephritis is often a most valuable warn- ing, as a sign indicative of an impending uremic attack. This rise, if noted early, furnishes the basis for immediate action, to control the pressure by pow- erful eliminative measures in order to avert, if pos- sible, the uremic attack. Such treatment if often very successful. J. Fischer, in the Duch. Arch. f. klin. Med., 1913, after a study of 550 patients running a continuous high blood-pressure, emphasizes the importance of being on the lookout for permanent kidney lesions in patients even with a moderately high pressure, as in 62% of his series with pressure above 140 there were signs of permanent kidney lesions, while 80% had chronic kidney change, and in some of these there