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Terminal Uræmia: With Notes on the Prevalence of Renal Disease Amongst the Insane

Published online by Cambridge University Press:  19 February 2018

A. Geoffrey Shera
A. Geoffrey Shera*
Affiliation:
Eastbourne Hospitals and to the East Sussex County Council
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Extract

The high incidence of chronic interstitial nephritis at post-mortem examinations at the East Sussex County Mental Hospital prompted an investigation into the urea content of the cerebro-spinal fluid. In the years 1926-29, some 68% of all deaths have had post-mortem examinations performed, totalling over 200 autopsies, and a series of 60 successive results are tabulated below (Table I), giving the following details:

  1. (1) The sex of the patient.

  2. (2) The age.

  3. (3) The interval between death and the estimation of the urea content of the cerebro-spinal fluid.

  4. (4) The result of the estimation.

  5. (5) The mental diagnosis.

  6. (6) Macroscopic evidence of gross renal disease (+ or −).

  7. (7) Other gross macroscopical abnormalities.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 77 , Issue 318 , July 1931 , pp. 573 - 581
Copyright
Copyright © Royal College of Psychiatrists, 1931 

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References

1 Kennaway, , Journ. Exper. Path., 1920, i, No. 3.Google Scholar
2 Bourne, G., and Stone, K., Principles of Clinical Pathology in Practice, 1929, Oxford University Press, p. 46.Google Scholar
3 Maclean, , Hugh, , Modern Methods in the Diagnosis and Treatment of Mental Disease, 1924, Constable & Co., London.Google Scholar
4 Shera, , Geoffrey, , “Bacillus acidophilus in Mental Patients, with Notes on the Ancillary Flora,” Journ. Ment. Sci., Jan., 1930, lxxvi, p. 56.Google Scholar
5 Stewart, , ibid., Jan., 1930, lxxvi, p. 171.Google Scholar
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