A High Fluid Intake in the Management of Edema, Especially Cardiac Edema. Ii. Clinical Observations and Data

Article1 December 1944A HIGH FLUID INTAKE IN THE MANAGEMENT OF EDEMA, ESPECIALLY CARDIAC EDEMA. II. CLINICAL OBSERVATIONS AND DATAF. R. SCHEMM, M.D., F.A.C.P.F. R. SCHEMM, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-21-6-937 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is only in the last 50 years that the limitation of fluids in the presence of edema has been taught and practiced so universally. Earlier clinicians noted that the theoretical fear of water in dropsy was not justified by close bedside observation.42-45In 1772 Sir George Baker reported that dropsy clears in patients given large amounts of water, and comments: "I much wish to see an indulgence of this kind extended to poor thirsty dropsical patients. In making such an experiment, indulge the patient to the utmost extent. A limited permission may be pernicious."In 1777 William Withering said...Bibliography1. NEWBURGHLASHMET LHFH: A comparative study of the excretion of water and solids by normal and abnormal kidneys, Jr. Clin. Invest., 1932, xi, 1003-1009. Google Scholar2. NEWBURGHLASHMET LHFH: The importance of dealing quantitatively with water in the study of disease, Am. Jr. Med. Sci., 1933, clxxxvi, 461-470. Google Scholar3. FREYBERGLASHMET RHFH: A quantitative study of renal injury in a case of acute poisoning by bichloride of mercury with a note regarding treatment, Am. Jr. Med. Sci., 1935, clxxxix, 392-399. CrossrefGoogle Scholar4. NEWBURGHMACKINNON LHF: The practice of dietetics, 1934, The Macmillan Co., New York, pp. 7-20, 86-97, 225-244, 253-258. Google Scholar5. ADDIS T: The osmotic work of the kidneys and the treatment of glomerular nephritis, Trans. Assoc. Am. Phys., 1940, lv, 223-229. Google Scholar6. COLLERMADDOCK FAWG: A study of dehydration in humans, Ann. Surg., 1935, cii, 947-960. 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Author, Article, and Disclosure InformationAffiliations: Great Falls, Montana*Received for publication December 23, 1943.Read at the St. Paul meeting of the American College of Physicians April 22, 1942.From the Medical Department of the Great Falls Clinic, Great Falls, Montana. 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