Page 295 (image) |
Previous | 300 of 703 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
June. 1941 PYELONEPHRITIS—BAKER ET AL. 295 Print of x-ray film showing pancreatic stone, as indicated by arrow. tioned in the history certainly should have drawn very definite attention to the pancreas, but it seems to have been lost in the maze of admissions and re-admissions. Conclusion While both Mayo and Brook emphasized the fact that the etiological factor of pancreatic calculi is often found in the biliary tract, it would hardly seem that there was enough evidence of chronic disease in this particular case to lead to this assumption. While one cannot be sure whether the pancreatic stones antedated the diabetes or not, it seemed that this patient started off very much like the usual type of diabetic. That there was increasing sensitivity to insulin in this patient appears to be a fairly well established fact. It is a known fact that the pancreas does regenerate itself, but there is nothing in the histological protocol to show that this pancreas did. The fact remains that this patient, while he was subject to hyperinsulinism, was a very severe diabetic up to the time of his death. It has been our experience in several cases that the diabetic patient who is difficult to regulate often proves to have some complicating factor. CHRONIC ATROPHIC PYELONEPHRITIS (GOLDBLATT’S HYPERTENSION) Case Report Thomas W. Baker, M. D. Charlotte B. D. Moore, M. D. Mt. Holly and W. Marvin Scruggs, M. D. Charlotte Only very recently have we recognized cases of hypertension which might be classified as the clinical counterparts of Gold-blatt’s experimental hypertension following renal ischemia. While these cases are rare, the results which follow a correct diagnosis and treatment are so dramatic and gratifying that an isolated case seems worthy of a report. We shall not attempt a review of the ingenious experiments by Goldblatt and others which led to the recognition of this entity, as the reader may readily consult the key references below(1). Case Report M. L., a 15 year old girl, consulted her physician (B. D. M.) in September, 1939. This visit was prompted because her blood pressure had been found to be high following a reaction to an injection of novocaine for the extraction of a tooth. The initial reading revealed a systolic blood pressure of 172 mm. of mercury, and a diastolic pressure 1. (a) Goldblatt, Harry: Studies on Experimental Hypertension: V. The Pathogenes’is of Experimental Hypertension Due to Kenal Ischemia-, Ann. Int. Med. 11: 69-103 (July) 1937. (b) Freeman, N. E., and Page. I. H.: Hypertension Produced by Constriction of the Renal Artery in Sympa-thectomized Dogs, Am. Heart J. 14:405-414 (October) 1937. (c) Houssay, B. A., and Fasciolo, J. C.: Experimental Hypertension, J. A. M. A. 109:2002 (December 11) 1937. (d) Longcope, W. T.: Chronic Bilateral Pyelonephritis: Its' Origin and Its Association with Hypertension, Ann. Int. Med. 11:149-163 (July) 1937. (e) Butler, A. M.: Chronic Pyelonephritis and Arterial Hypertension, J. Clin. Investigation 16:889-897 (November) 1937. (f) Weiss, Soma, and Parker, Frederic, Jr.: Vascular Changes in Pyelonephritis and Their Relation to Arterial Hypertension, Tr. A. Am. Physicians 53:60-73. 1938. (g) Barney, J. D., and Suby, H. L.: Unilateral Renal Disease with Arterial Hypertension; Report of Case Apparently Cured Following Nephrectomy, New England J. Med. 220:744-746 (May 4) 1939. (h) Crabtree, E. G.: Hypertension in Destructive Infected Unilateral Lesions of the Kidney, Tr. Am. A. Genito-Urin. Surgeons 31:299-319. 1938. (i) Leadbetter. W. F.. and Burkland, C. E.: Hypertension in Unilateral Renal Disease. J. Urol. 39:611-626 (May) 1938. (j) Boyd, C. H., and Lewis, L. G.: Nephrectomy for Arterial Hypertension, J. Urol. 39:627-635 (May) 1938. (k) Barker, N. W.. and Walters, Waltman: Hypertension Associated with Unilateral Chronic Atrophic Pyelonephritis: Treatment by Nephrectomy, Proc. Staff Meet., Mayo Clin. 13:118-121 (February 23) 1938.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1941 |
Identifier | NCHH-17-002 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 2 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-002.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-002 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 295 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1941 |
Identifier | NCHH-17-002-0305 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed21941medi_0305.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 2 |
Issue Number | 6 |
Page Number | 295 |
Health Discipline | Medicine |
Full Text | June. 1941 PYELONEPHRITIS—BAKER ET AL. 295 Print of x-ray film showing pancreatic stone, as indicated by arrow. tioned in the history certainly should have drawn very definite attention to the pancreas, but it seems to have been lost in the maze of admissions and re-admissions. Conclusion While both Mayo and Brook emphasized the fact that the etiological factor of pancreatic calculi is often found in the biliary tract, it would hardly seem that there was enough evidence of chronic disease in this particular case to lead to this assumption. While one cannot be sure whether the pancreatic stones antedated the diabetes or not, it seemed that this patient started off very much like the usual type of diabetic. That there was increasing sensitivity to insulin in this patient appears to be a fairly well established fact. It is a known fact that the pancreas does regenerate itself, but there is nothing in the histological protocol to show that this pancreas did. The fact remains that this patient, while he was subject to hyperinsulinism, was a very severe diabetic up to the time of his death. It has been our experience in several cases that the diabetic patient who is difficult to regulate often proves to have some complicating factor. CHRONIC ATROPHIC PYELONEPHRITIS (GOLDBLATT’S HYPERTENSION) Case Report Thomas W. Baker, M. D. Charlotte B. D. Moore, M. D. Mt. Holly and W. Marvin Scruggs, M. D. Charlotte Only very recently have we recognized cases of hypertension which might be classified as the clinical counterparts of Gold-blatt’s experimental hypertension following renal ischemia. While these cases are rare, the results which follow a correct diagnosis and treatment are so dramatic and gratifying that an isolated case seems worthy of a report. We shall not attempt a review of the ingenious experiments by Goldblatt and others which led to the recognition of this entity, as the reader may readily consult the key references below(1). Case Report M. L., a 15 year old girl, consulted her physician (B. D. M.) in September, 1939. This visit was prompted because her blood pressure had been found to be high following a reaction to an injection of novocaine for the extraction of a tooth. The initial reading revealed a systolic blood pressure of 172 mm. of mercury, and a diastolic pressure 1. (a) Goldblatt, Harry: Studies on Experimental Hypertension: V. The Pathogenes’is of Experimental Hypertension Due to Kenal Ischemia-, Ann. Int. Med. 11: 69-103 (July) 1937. (b) Freeman, N. E., and Page. I. H.: Hypertension Produced by Constriction of the Renal Artery in Sympa-thectomized Dogs, Am. Heart J. 14:405-414 (October) 1937. (c) Houssay, B. A., and Fasciolo, J. C.: Experimental Hypertension, J. A. M. A. 109:2002 (December 11) 1937. (d) Longcope, W. T.: Chronic Bilateral Pyelonephritis: Its' Origin and Its Association with Hypertension, Ann. Int. Med. 11:149-163 (July) 1937. (e) Butler, A. M.: Chronic Pyelonephritis and Arterial Hypertension, J. Clin. Investigation 16:889-897 (November) 1937. (f) Weiss, Soma, and Parker, Frederic, Jr.: Vascular Changes in Pyelonephritis and Their Relation to Arterial Hypertension, Tr. A. Am. Physicians 53:60-73. 1938. (g) Barney, J. D., and Suby, H. L.: Unilateral Renal Disease with Arterial Hypertension; Report of Case Apparently Cured Following Nephrectomy, New England J. Med. 220:744-746 (May 4) 1939. (h) Crabtree, E. G.: Hypertension in Destructive Infected Unilateral Lesions of the Kidney, Tr. Am. A. Genito-Urin. Surgeons 31:299-319. 1938. (i) Leadbetter. W. F.. and Burkland, C. E.: Hypertension in Unilateral Renal Disease. J. Urol. 39:611-626 (May) 1938. (j) Boyd, C. H., and Lewis, L. G.: Nephrectomy for Arterial Hypertension, J. Urol. 39:627-635 (May) 1938. (k) Barker, N. W.. and Walters, Waltman: Hypertension Associated with Unilateral Chronic Atrophic Pyelonephritis: Treatment by Nephrectomy, Proc. Staff Meet., Mayo Clin. 13:118-121 (February 23) 1938. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-002.pdf |
Document Sort | all; nchh-17 |
Article Title | Chronic Atrophic Pyelonephritis (Goldblatt�S Hypertension) |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-002 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Tags
Comments
Post a Comment for Page 295 (image)