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May 1942, Vol 44, No. 5 >
ARTICLE | May 1942

THE HEPATIC (HEPATORENAL) FACTOR IN BURNS

FREDERICK FITZHERBERT BOYCE, M.D.
Arch Surg. 1942;44(5):799-818. doi:10.1001/archsurg.1942.01210230023003.
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The whole truth about any series of burns is seldom if ever known, if for no other reason than that in the great majority of fatal cases the bodies, by law, must be turned over to the coroner, and detailed postmortem observations are therefore lacking. Related to this lack of pathologic knowledge is McClure's1 charge that the average physician sees too few burns to know much about them; his estimate was that in ordinary practice he would see 1 burn in every four and one-half years and 1 fatal burn every twenty-three years. Elkinton,2 finally, has commented on the surprisingly few studies in the literature on the constitutional aspects of burns, to which any one who has investigated hospital records might well reply that studies of these could scarcely appear in the literature since they are apparently not made on the patient.

A mere statement of mortality, furthermore,

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