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THE DIFFERENTIAL DIAGNOSIS OF URÆMIA.

CHARLES W. PURDY, M.D.
JAMA. 1888;X(10):285-290. doi:10.1001/jama.1888.02400360001001.
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It will be my object in this paper to draw the line as sharply as possible between those comatose states which are sometimes mistaken for uræmia, and the latter condition itself. I am the more willing to undertake this task, believing that the importance of the subject can scarcely be overestimated. It is surely no uncommon experience with those who are engaged in active general practice to meet with cases in which men—especially those advanced in life— have been suddenly struck down in an unconscious state to which, unfortunately, too often death constitutes the speedy sequel. Indeed, so frequently is this picture presented to the professional eye, that in the aged it has come to be looked upon almost as a matter of course. To the mind the thread of possibility, by which depends the lengthened skein of life, grows so brittle with advancing years that its individual strands seem

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