A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
_Showing the bulk-percentages of barium sulphate (BaSO_{4}) and the
corresponding gravimetric percentages and grains per fluidounce of
sulphuric acid (SO_{3}).--(Purdy.)_
Bulk-percentage | Percentage | Gr. Per Oz.
of BaSO_{4}. | SO_{3}. | SO_{3}.
----------------+------------+------------
1/8 | 0.04 | 0.19
1/4 | 0.07 | 0.34
3/8 | 0.1 | 0.48
1/2 | 0.13 | 0.62
5/8 | 0.16 | 0.77
3/4 | 0.19 | 0.91
7/8 | 0.22 | 1.06
1 | 0.25 | 1.1
1¼ | 0.31 | 1.49
1½ | 0.37 | 1.78
1¾ | 0.43 | 2.06
2 | 0.49 | 2.35
2¼ | 0.55 | 2.64
2½ | 0.61 | 2.93
2¾ | 0.67 | 3.22
3 | 0.73 | 3.5
3¼ | 0.79 | 3.79
3½ | 0.85 | 4.08
3¾ | 0.91 | 4.37
4 | 0.97 | 4.66
4¼ | 1.03 | 4.94
4½ | 1.09 | 5.23
4¾ | 1.15 | 5.52
5 | 1.21 | 5.81
----------------+------------+------------
Bulk-percentage to be read from graduation on the side of the tube.
* * * * *
{63} Nine-tenths of the sulphuric acid is in combination with various
mineral substances (mineral or preformed sulphates). One-tenth is in
combination with certain aromatic substances, mostly products of
albuminous putrefaction in the intestine (conjugate sulphates). Among
these aromatic substances are indol, phenol, and skatol. By far the
most important of the conjugate sulphates and representative of the
group is potassium indoxyl sulphate.
Potassium indoxyl sulphate, or indican, is derived from indol. Indol
is absorbed and oxidized into indoxyl, which combines with potassium
and sulphuric acid and is thus excreted. Under normal conditions the
amount in the urine is small. It is increased by a meat diet.
Pathologically, an increase of indican always indicates abnormal
albuminous putrefaction somewhere in the body. It is noted in:
(_a_) _Diseases of the Small Intestine_.--This is by far the most
common source. Intestinal obstruction gives the largest amounts of
indican. It is also much increased in intestinal
indigestion--so-called "biliousness"; in inflammations, especially in
cholera and typhoid fever; and in paralysis of peristalsis such as
occurs in peritonitis. Simple constipation and diseases of the _large_
intestine alone do not increase the amount of indican.
(_b_) _Diseases of the stomach_ associated with deficient hydrochloric
acid, as chronic gastritis and gastric cancer. Diminished hydrochloric
acid favors intestinal putrefaction.
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