The uraemic convulsions of pregnancy, parturition, and childbed

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Page 7 - PUERPEEALIS is an acute affection of the motor function of the nervous system (an acute neurosis of motility), characterized by insensibility, tonic and clonic spasms, and occurs only as an accessory phenomenon of another disease, generally of Bright's disease in an acute form (diabetes albuminosus, nephritis diffusa seu albuminosa), which under certain circumstances, spreading its toxaemic effects on the nutrition of the brain and whole nervous system, produces those fearful accidents.
Page 64 - There is more or less fatty degeneration of the epithelium on the malpighian bodies. In the third stage the kidneys are reduced to their normal dimensions, or even sink below them. The capsule is thickened and adherent, the surface of the kidney is uneven, tuberculated, and often shows deep furrow-like...
Page 47 - If, after numerous uramic convulsive fits, the child is born still alive, a large quantity of urea is found in the blood taken from the umbilical cord ; but if it is born dead, we can, immediately after the birth, demonstrate the presence of carbonate of ammonia in the fetal blood.
Page 39 - ... is, when present, often a cause of death of circumstance, that in acute Bright's disease and uraemia the nutrition of the nervous system is carried on in a morbid manner by undepurated blood. Hence, premature labours may be induced by eclampsia, just as by other acute diseases, as pneumonia, typhus, etc. By exciting pains, and increasing their strength, fits cannot be produced at will, nor even aggravated. For we have made the observation that, under a high degree of reflex sensibility, convulsions...
Page 175 - ... the healthy excitement of pregnancy. It is not unusual, under such circumstances, to find the power of one or both of the lower limbs considerably impaired ; and in some few rare instances they have become partially or completely paralytic, and even hemiplegia has been observed, but to what degree the mere enlargement of the uterus is the agent in the production of such a state, seems very doubtful.
Page 143 - The chief object to be attained is to diminish as much as possible the reflex excitability, to weaken the paroxysms, in order to diminish the dangers, and to gain time for entering upon rational treatment. In this respect, we have observed results from chloroform-narcotism which have surpassed all expectations. In...
Page 17 - ... on one form of eclampsia only; the rest being disregarded, however worthy some of them undoubtedly are of the most critical examination. After describing the symptomatic phenomena of the fit, and having referred to the almost universal .presence of oedema, Dr. Braun observes that only those oedemata of pregnant women...
Page 143 - In ursemic eclampsia, the chloroform narcotism is to be induced instantly when indications of an impending paroxysm show themselves — as great restlessness, increasing rigidity of the muscles of the arms, expiry of the interval between former paroxysms, fixity of expression, or tossing hither and thither. The narcotism is to be kept up until the premonitory symptoms of the paroxysm disappear and quiet sleep follows ; a result generally attained in one minute.
Page 62 - Braun's work, to which we have so frequently referred. A few extracts only will be made by us, and those chiefly to call attention to certain prominent points in the renal necroscopic phenomena. Dr. Braun bases his descriptions on the three forms of Bright's disease proposed by Frerichs. In the first stage, that of hyperaemia and commencing exudation, the surface of the kidney is smooth, the capsule is easily removed, the plexus of veins on the surface of the kidneys is dilated, and full of dark...
Page 18 - Dr. Reynolds, commenting upon this characteristic, writes thus : " The stertor exhibits a peculiarity first noticed by Dr. Addison. It is not of low, guttural tone, but of much higher pitch, and appears to be caused by the mouth rather than the throat, either...

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