POST-TRAUMATIC ACUTE RENAL INSUFFICIENCY COMPLICATED BY HYPERNATREMIA
Authors: Paul D. Doolan, Christopher C. Shaw, Walton W. Shreeve, Harold A. Harper
Journal: Annals of Internal Medicine (1955)

Case Reports1 May 1955POST-TRAUMATIC ACUTE RENAL INSUFFICIENCY COMPLICATED BY HYPERNATREMIAPAUL D. DOOLAN, CHRISTOPHER C. SHAW, WALTON W. SHREEVE, HAROLD A. HARPER, Ph.D.PAUL D. DOOLANSearch for more papers by this author, CHRISTOPHER C. SHAWSearch for more papers by this author, WALTON W. SHREEVESearch for more papers by this author, HAROLD A. HARPER, Ph.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-5-1101 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptProlonged oliguria after severe injury is a problem of major importance in military medicine. According to Lucké it was the form of fatal kidney disorder most frequently encountered during World War II.1Burnett reported a 91% mortality in some of the casualties of the Italian campaign,2and in the Korean conflict the mortality rate remained high despite good conservative management.3In view of the need for additional knowledge and a more complete understanding of this syndrome, the following case is being reported. This severely traumatized patient provided us with an unusual opportunity to make detailed observations and special studies of...Bibliography1. Lucké B: Lower nephron nephrosis. The renal lesions of the crush syndrome, of burns, transfusion, and other conditions affecting the lower segments of the nephrons, Mil. Surgeon 99: 371, 1946. CrossrefMedlineGoogle Scholar2. BurnettShapiroSimeoneBeecherMallorySullivan CHSLFAHKTBER: Recent advances in surgery. III. Post-traumatic renal insufficiency, Surgery 22: 994, 1947. MedlineGoogle Scholar3. 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CrossrefGoogle Scholar15. Kerpel-Fronius #: On role of the kidney in the osmo and volume regulation of body fluids, Magyar Belorvosi (Archivum) 1: 299, 1948. Google Scholar16. EllingtonTaffel JRM: Prolonged water deprivation in the dog, J. Clin. Investigation 21: 787, 1942. CrossrefMedlineGoogle Scholar17. WinklerElkingtonHopperHoff AWJRJHE: Experimental hypertonicity: alterations in the distribution of body water and the cause of death, J. Clin. Investigation 23: 103, 1944. CrossrefMedlineGoogle Scholar18. NadalPedersenMaddock JWSWG: A comparison between dehydration from salt loss and from water deprivation, J. Clin. Investigation 20: 691, 1941. CrossrefMedlineGoogle Scholar19. McManus JF: Medical diseases of the kidney, 1950, Lea and Febiger, Philadelphia. Google Scholar20. Oliver J: Correlations of structure and function and mechanisms of recovery in acute tubular necrosis, Am. J. Med. 15: 535, 1953. CrossrefMedlineGoogle Scholar21. GilmanBrazeau AP: The role of the kidney in the regulation of acid base metabolism, Am. J. Med. 15: 765, 1953. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Oakland, California*Received for publication May 17, 1954.Presented (in part) at the Meeting of the Western Section of the American Federation for Clinical Research, Portland, Oregon, January 28, 1954.From the Metabolic Research Facility and the Medical Service, U. S. Naval Hospital, Oakland, California.The opinions expressed are those of the authors and are not to be construed as official or reflecting the views of the Navy Department or the Naval Service at large. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHypernatremia in the Elderly: Relation to Infection and MortalityHypernatremia, Azotemia, and Dehydration Due to High-Protein Tube FeedingM. HENRY GAULT, M.D., M.SC., F.A.C.P., MICHAEL E. DIXON, M.D., F.R.C.P.(C), MICHAEL DOYLE, M.D., WALTER M. COHEN, M.D.DIABETIC COMA WITHOUT KETOACIDOSISPROPHYLACTIC HEMODIALYSIS IN THE TREATMENT OF ACUTE RENAL FAILURE*PAUL E. TESCHAN, CHARLES R. BAXTER, M.D., THOMAS F. O'BRIEN, M.D., JACK N. FREYHOF, WILLIAM H. HALLAn evaluation of intermittent peritoneal lavageCommon Patterns of Water and Electrolyte Change in Injury, Surgery and DiseaseHypernatremia, azotemia and acidosis after cerebral injury 1 May 1955Volume 42, Issue 5Page: 1101-1109KeywordsAcute renal failureDeath ratesHypernatremiaKidneysMedical servicesMilitary medicineMortalityObservational studiesResearch facilities ePublished: 1 December 2008 Issue Published: 1 May 1955 PDF downloadLoading ...