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February 18, 1899


Author Affiliations

Professor of Histology, Northwestern University Dental School, 1893-94; Clinical Instructor in Neurology, Northwestern University Medical School, 1893-96; Medical Inspector of Chicago Health Department, 1896. WAUKEGAN, ILL.

JAMA. 1899;XXXII(7):355-356. doi:10.1001/jama.1899.92450340022002i

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I have the pleasure of reporting this interesting case by the courtesy of Dr. J. M. G. Carter, with whom I attended in consultation:

The patient, a young primipara, seven months pregnant, was first seen by me June 8. She gave a history, if I remember correctly—having no notes of the case at that time—of headache, disturbance of vision and epigastric distress. There was marked edema of the lower limbs and the Doctor reported considerable albuminuria. The treatment instituted was milk diet and active elimination by means of pilocarpin and salines, keeping careful watch upon the quantity and quality of the urine. I did not see the patient again until June 17, when I was suddenly called, in the Doctor's temporary absence, and found the patient lying on the floor and having a typic uremic convulsion. This was controlled by chloroform, and as soon as the patient was in bed,

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