THE recent literature has called attention to the increasing number of cases of hypertension due to unilateral renal-artery disease. A wide array of vascular abnormalities have been described, and various special diagnostic procedures have been emphasized. The role of the stethoscope in the diagnosis of unilateral renal-artery disease, however, has seldom been mentioned. Auscultation over the lower thoracic and the lumbar paravertebral region and upper abdominal quadrants may afford the physician an early clue to the etiology of a patient's hypertension. We have had the opportunity to study a young hypertensive patient who had a bruit over the flank and . . .
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Gilliland et al. (1961) studied this question.