Blood Pressure in General Practice

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The ultimate danger is rupture and apoplexy.
(B) Chronic Parenchymatous Nephritis.
— ^In it the blood-pressure is uncertain, often being normal. When there is hyper- tension it often aids, but its absence does not negate the diagnosis.
(C) Acute Nephritis: — The pressure varies greatly, in typhoid fever and pneumonia there being no increase in tension.
Digitized by VjOOQ IC 76 BLOOD PEESSUEE In scarlet fever, however, there is a sharp, sudden rise, often of 50 mm., and it is a valuable aid in t
...he diagnosis.
(D) Uremia. — ^Here blood-pressure runs parallel with the symptoms, maximum pressure being very high, in some cases 290 mm. Hg.
Pressure falls with the alleviation of the symptoms as a general rule, though it may fall before fatal termination, due to faU- nre of the heart.
Obstetrics and Eclampsia^ etc.— Most authorities agree that at the end of preg- nancy there is normally a rise in systolic blood-pressure (10-15 mm. Hg) with lit- tle change in the diastolic pressure; al- though Starling, who reported the results of cases over a five-year period, believes the blood-pressure remains normal.


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