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Am J Dis Child. 1921;22(5):438-442. doi:10.1001/archpedi.1921.04120050009002.
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It is a well recognized fact that the excretion of albumin in the urine occurs in circulatory disturbances of the kidneys. As the kidney is very sensitive to circulatory disorders, albuminuria may occur (except in nephritis) either because of local congestion of the veins and capillaries, or because of anemic infarct of the kidney. It may also occur in the course of general anasarca due to obstruction.

As stated by Jehle,1 lordosis is the chief cause of orthostatic albuminuria. Venous hyperemia of the kidney is brought on by faulty position of the lumbar spine. This observation was confirmed by animal experiments, which have since been repeated by many investigators.

Menge2 employed massage of the kidney in twenty-one instances; in fifteen the presence of albuminuria was confirmed. Zebrowski and Glewitsch3 attempted to electrify the kidney with the faradic current in thirty-three cases. They found albuminuria in only one


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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