Dry-air and long-term water (thermally indifferent) baths for the treatment of chronic nephritis

Abstract

Case VІ. Patient O. A., 45 years old, a peasant. Admitted to the clinic on October 10, 1906 with complaints of edema of the face, abdomen, extremities, penis and scroti, significant shortness of breath when walking even on an even place, frequent headaches and a feeling of general weakness. Considers himself sick since September 15, 1906: first, after drinking cold water, a sore throat (probably Angina); after 3-4 days the pain disappeared, but the face and legs began to swell up to the knees, and then the swelling of the arms and abdomen appeared. Of the illnesses suffered earlier, it indicates gonorrhoeam, a "fever" that has been a few times, but not for long. At the time, the patient had scrofula (a white cicatricial spot on the skin of the abdomen in the mesogastrii dextri area is still present). I consumed alcoholic beverages in quite significant quantities. There are no clear indications on Lues. The patient is of average height, correct body build and satisfactory nutrition. The musculoskeletal system and the layer of subcutaneous adipose tissue are sufficiently developed. The color of the skin and visible mucous membranes is rather pale. There are significant ascites and anasarca (fluctuatio vera pronounced clearly). The upper boundaries of both lungs are normal. The lower ones are moved one intercostal space up. The right border of the superficial dullness of the heart is the right edge of the sterni; upper lower edge of the third rib, pushing of the heart apex in the Ѵ-m intercostal space (left side of the chest wall), 2 ctm. outwards from Linea mamil. sinistra. The pulse is low, low filling, normal frequency, correct.