EXTREME HYPERTENSION IN A CHILD CURED BY NEPHRECTOMY

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Abstract
M. C., a girl aged 9, was first seen on Nov. 10, 1946, with a history of having awakened early in the morning complaining of generalized abdominal pain, followed by repeated attacks of vomiting. She had had three attacks of vomiting and generalized abdominal pain during the previous three months, each of which lasted about twenty-four hours and then cleared up completely. In addition, the mother stated that the child had complained of occasional headache and had nocturia and enuresis during the past two years. Physical examination revealed a well developed, restless child, complaining of generalized abdominal pain. Temperature was 99.4 F., pulse rate 130 and regular and respirations 30 per minute. The abdomen was soft and there were no palpable masses, rigidity or tenderness. The blood pressure varied from 160 systolic and 130 diastolic to 175 systolic and 125 diastolic. Blood pressure in the right leg was 190 systolic

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