UREMIA, ALKALOSIS, TETANY AND CARDIAC FAILURE

Autor: Dennis, Wilfred S.
Zdroj: JAMA: Journal of the American Medical Association; April 1925, Vol. 84 Issue: 14 p1069-1069, 1p
Abstrakt: To the Editor:—The interesting case reported by Harrison and Perlzweig (The Journal, February 28, p. 671) has many points of resemblance to a case I have seen, in which, in addition to the uremia, there was alkalosis independent of the administration of alkali, and tetany. It was thought that the tetany had been induced because of the loss of chlorids, incident to persistent vomiting for a period of about thirty hours, and the development of an alkalosis; at any rate, replacing some of the chlorids by means of subpectoral injections of saline solution almost immediately relieved this distressing condition. Unfortunately, no check was made after this of the alkalosis, as the case terminated fatally during the next twenty-four hours. Necropsy was not obtained.A man, aged 67, seen, February 7, in his room in a hotel, apparently had been in good health, and two nights preceding had gone out
Databáze: Supplemental Index