EUGENE R. WHITMORE, M.D., D.P.H.
It is not my intention, and it is not necessary, to go into a general discussion of blackwater fever; and I have already discussed the general problem of hemoglobinuria elsewhere. I do want to stress the importance of examining the urine chemically for hemoglobin, and microscopically for hemoglobin casts and red blood cells, to be sure to differentiate hemoglobinuria from hematuria―two entirely different conditions. I also want to stress the point that, especially after the patient has vomited a few times, the vomitus in blackwater fever contains bright green flecks and shreds of mucus, and the liquid portion of the
WHITMORE ER. Blackwater Fever1. Ann Intern Med. 1928;2:316–324. doi: 10.7326/0003-4819-2-4-316
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Published: Ann Intern Med. 1928;2(4):316-324.
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