The value of an ocular examination in renal disease and in degeneration of the blood vessel walls is now generally recognized by clinicians, and no study of a patient suspected of either of these conditions is regarded as complete without ophthalmoscopic aid. On account of the liability of pregnant women to disease of the kidneys, obstetricians not infrequently request an examination of the eye-grounds when albumin appears in the urine, and in event of changes being found there, give due consideration to them, for retinitis albuminuria gravidarum is a well recognized disease, and its prognostic and clinical importance is properly valued.
Pregnancy may, however, be complicated by a [ill] toxemia and the urine not show any trace of albumin. This happens when the liver, or other organ apart from the kidney, is unequal to the task put on it by the excessive tissue changes which accompany pregnancy, [ill] when the
POSEY WC, HIRST JC. THE IMPORTANCE OF AN OCULAR EXAMINATION IN PREGNANT WOMEN MANIFESTING CONSTITUTIONAL SIGNS OF TOXEMIA. JAMA. 1908;L(11):865–868. doi:10.1001/jama.1908.25310370031002g
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