~~~~~~~~~~~~~~~~~~~~~~~~~~~~~MEDICA,L JOUPRNAL sore throats. In 1943 he had been accepted as a first-class life by an insurance company, the blood pressure then being 130/ 90 mm. Hg. In June, 1948, he was admitted to Westminster Hospital for tonsillectomy, and on pre-operative examination was found to have a blood pressure of 230/150 mm. Hg with pulsus alternans. There was no other cardiovascular abnor- mality, except that the fundi revealed exudates, haemorrhages, and vascular changes. The blood urea, however, was 120 mg. per 100 ml., and the urea clearance 26% of normal. Whilst in hospital he was free from syinptoms and sympathectomy was not performed, on account of his poor renal function. He died from uraemia three months later.
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William R. Russell (1949) studied this question.