This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1922 Excerpt: ...in the general physical condition; this patient had an uninterrupted operative convalescence. A third patient with a phthalein output of 52 per cent. promptly died of uremia after operation; a fourth, aged 72 years, with a phthalein elimination of 78 per cent. died in uremic coma after prostatectomy. These results with ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1922 Excerpt: ...in the general physical condition; this patient had an uninterrupted operative convalescence. A third patient with a phthalein output of 52 per cent. promptly died of uremia after operation; a fourth, aged 72 years, with a phthalein elimination of 78 per cent. died in uremic coma after prostatectomy. These results with the phthalein test have occurred in our experience with comparative frequency. Nevertheless they must be considered exceptions to the general rule that this test usually gives an accurate index of kidney function. The test is without doubt of prognostic value; its value is much enhanced by comparison with the blood urea content. Illustrative of the value of the phthalein test in gauging the improvement in kidney function with treatment is the case of a patient who was admitted to the Lankenau Hospital on 5-11-15 with a total failure of phthalein elimination; next day the percentage output was 10; four days later it reached 21 per cent. and five days later it had risen to 30 per cent. The prostate was then removed and the patient promptly recovered. The Mayos are of the opinion that the patient's general condition is more important as a prognostic index than the results of the phthalein test, and that a stationary or decreasing phthalein output is not a contraindication to operation provided the general condition is improving. We, too, are guided largely by the general condition of the patient, but we must confess that a decreasing phthalein output when accompanied by a rising blood urea notwithstanding appropriate treatment, is looked upon by us as of serious prognostic significance. Practically every individual, we repeat, demands treatment before operation. In every case there is a time when the maximum efficiency of the vital organs is rea...
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Good+ Ink and name on front end page. Deckled edges. Cover chipped with fading. Includes 108 full-page plates and a coloured frontispiece. Professional book dealer with storefront since 1975. All orders are processed promptly and carefully packaged.; 266 pages.