Acute renal insufficiency due to bichloride of mercury; observations on gastrointestinal hemorrhage and BAL therapy.

Abstract

THE clinical management of the oliguric patient still represents a difficult and challenging problem despite the advances in knowledge of the underlying pathologic physiology of acute renal insufficiency. The difficulties stem largely from the fundamental nature of the syndrome and the course it pursues, both of which render the patient particularly susceptible to many grave complications. The case described below illustrates a number of the complications, including massive gastrointestinal hemorrhage, and the important problem of British anti-lewisite (BAL) therapy in the oliguric patient is discussed in some detail. Case Report M. H. (G. U. H. 28,266), a 28-year-old married woman, . . .