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February 23, 1895

The Ophthalmoscope in Kidney Disease.

JAMA. 1895;XXIV(8):291-292. doi:10.1001/jama.1895.02430080033013

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Wabash, Ind., Feb. 19, 1895.

To the Editor:  —"Advanced kidney disease is often first discovered by ophthalmoscopic examination."Illustrating the truth of the above item taken from a recent medical journal, I wish to report a case which came under my observation recently:C. M. was sent to me by Dr. K. to be fitted with glasses. He had been complaining of failing vision for about four weeks in right eye and for two weeks in left eye. Vision was equal to counting fingers at ten feet. No improvement with glasses. Ophthalmoscopic examination showed extensive patches of albuminuric retinitis in both eyes. I then questioned him about his general health, which he said was very good. Had not been sick and felt as well as usual. No trouble with kidneys as far as he knew. I sent him back to his family physician, Dr. K., with a letter, telling him

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