PETER A. HERBUT, M.D.
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Recent medical literature contains numerous contributions on a clinico-pathological entity affecting primarily the kidneys and variously called toxic nephritis (Brown, Eusterman, Hartman and Rowntree1), hepato-renal syndrome (Helwig and Schultz2), nephrosis (Wilbur3), clinically acute nephritis (Bell4), acute hematogenous interstitial nephritis (Kimmelstiel5), extra renal azotemia (Jeghers and Bakst6), acute interstitial nephritis (Melnick7), crush syndrome (Bywaters8) and so forth. Clinically the syndrome is characterized by either a sudden and obvious onset accompanied by some or all of the manifestations of peripheral vascular collapse, or by a more insidious and imperceptible origin. In either case there is frequently hemoconcentration, a drop in blood pressure,
HERBUT PA. RENAL CHANGES IN SECONDARY SHOCK1. Ann Intern Med. ;25:648–662. doi: 10.7326/0003-4819-25-4-648
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Published: Ann Intern Med. 1946;25(4):648-662.
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