A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
(1) Esbach's Method.--The urine must be clear, of acid reaction, and
not concentrated. Always filter before testing, and, if necessary, add
acetic acid and dilute with water. Esbach's tube (Fig. 23) is
essentially a test-tube with a mark _U_ near the middle, a mark _R_
near the top, and graduations ½, 1, 2, 3, etc., near the bottom. Fill
the tube to the mark _U_ with urine and to the mark _R_ with the
reagent. Close with a rubber stopper, invert slowly several times, and
set aside in a cool place. At the end of twenty-four hours read off
the height of the precipitate. This gives the amount of albumin in
_grams per liter, and must be divided by 10 to obtain the percentage_.
[Illustration: FIG. 23.--Esbach's albuminometer, improved form.]
_Esbach's reagent_ consists of picric acid, 1 gm., citric acid, 2 gm.,
and distilled water, to make 100 c.c.
(2) Purdy's Centrifugal Method.--This is detailed in the accompanying
table. The percentage by weight is approximately one-fiftieth of the
bulk percentage.
{75} PURDY'S QUANTITATIVE METHOD FOR ALBUMIN IN URINE (CENTRIFUGAL)
_Table showing the relation between the volumetric and gravimetric
percentage of albumin obtained by means of the centrifuge with radius
of six and three-quarter inches; rate of speed, 1500 revolutions per
minute; time, three minutes._
VOLUMETRIC | PERCENTAGE BY | GRAINS PER
PERCENTAGE BY | WEIGHT OF | FLUIDOUNCE
CENTRIFUGE. | DRY ALBUMIN. | DRY ALBUMIN.
--------------+---------------+-------------
¼ | 0.005 | 0.025
½ | 0.01 | 0.05
¾ | 0.016 | 0.075
1 | 0.021 | 0.1
1¼ | 0.026 | 0.125
1½ | 0.031 | 0.15
1¾ | 0.036 | 0.175
2 | 0.042 | 0.2
2¼ | 0.047 | 0.225
2½ | 0.052 | 0.25
2¾ | 0.057 | 0.275
3 | 0.063 | 0.3
3¼ | 0.068 | 0.325
3½ | 0.073 | 0.35
3¾ | 0.078 | 0.375
4 | 0.083 | 0.4
4¼ | 0.089 | 0.425
4½ | 0.094 | 0.45
4¾ | 0.099 | 0.475
5 | 0.104 | 0.5
5½ | 0.111 | 0.55
6 | 0.125 | 0.6
6½ | 0.135 | 0.65
7 | 0.146 | 0.7
7½ | 0.156 | 0.75
8 | 0.167 | 0.8
8½ | 0.177 | 0.85
9 | 0.187 | 0.9
9½ | 0.198 | 0.95
10 | 0.208 | 1.0
10½ | 0.219 | 1.05
11 | 0.229 | 1.1
11½ | 0.24 | 1.15
12 | 0.25 | 1.2
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