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ROBERT W. HOPKINS, MD; GABRIEL SABGA, MD; POINCIANO BERNARDO, MD; ISRAEL PENN, MD; F. A. SIMEONE, MD

AMA Arch Surg. 1963;87(2):320-330.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hippocrates recognized the value of the urine as an aid in the prognosis of many disorders, and his references to the characteristics of the urine are numerous.^1,2 Homer Smith³ quotes Constantine Africanus, writing in Salerno in the eleventh century, as stating that the "urine is better than the pulse to discover the disease from which the patient suffers."

Oliguria is a common finding following trauma, major surgery, hemorrhage, and sepsis. The oliguria may result from structural damage to renal tubules,^4-7 from impaired renal blood flow in the absence of structural damage to the kidney,^8,9 or from antidiuresis.^10,11

This report presents the urinary findings of patients during or following severe hemorrhage and of patients who were in "septic shock." These are compared with the findings in the urine of patients who were oliguric during and after major elective surgery to see if fundamental differences exist with . . . [Full Text PDF of this Article]

Author Affiliations
CLEVELAND

From the Department of Surgery, Western Reserve University School of Medicine and the Cleveland Metropolitan General Hospital.

Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.

Supported by the Department of the Army contract number: DA-49-193-M.D. 2022.

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