A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
A somewhat simpler application of this method, which is accurate
enough for clinical purposes, is as follows: Take 8¾ c.c. (roughly,
9 c.c.) of Purdy's solution in a large test-tube, dilute with an equal
volume of water, heat to boiling, and, while keeping the solution hot
but not boiling, add the urine drop by drop from a medicine-dropper
until the blue color is entirely gone. Toward the end add the drops
very slowly, not more than 4 or 5 a minute. Divide 10 by the number of
drops required to discharge the blue color; the quotient will be the
percentage of glucose. If 20 drops were required, the percentage would
be 10÷20 = 0.5 per cent. It is imperative that the drops be of such
size that 20 of them will make 1 c.c. Test the dropper with urine, not
water. If the drops are too large, draw out the tip of the dropper; if
too small, file off the tip.
_Purdy's solution_ consists of pure crystalline copper sulphate,
4.752 gm.; potassium hydroxid, 23.5 gm.; ammonia (U.S.P.; sp. gr.,
0.9), 350 c.c.; glycerin, 38 c.c.; distilled water, to make {81}
1000 c.c. Dissolve the copper sulphate and glycerin in 200 c.c. of the
water by aid of gentle heat. In another 200 c.c. of water dissolve the
potassium hydroxid. Mix the two solutions, and when cool, add the
ammonia. Lastly, bring the whole up to 1000 c.c. with distilled water.
This solution is of such strength that the copper in 35 c.c. will be
reduced by exactly 0.02 gm. of glucose.
(2) Fehling's Method.--Take 10 c.c. Fehling's solution (made by mixing
5 c.c. each of the copper and alkaline solutions described on page 78)
in a flask or beaker, add three or four volumes of water, boil, and
add the urine very slowly from a buret until the solution is
completely decolorized, heating but not boiling after each addition.
Fehling's solution is of such strength that the copper in 10 c.c. will
be reduced by exactly 0.05 gm. of glucose. Therefore, the amount of
urine required to decolorize the test solution contains just 0.05 gm.
glucose, and the percentage is easily calculated.
[Illustration: FIG. 25.--Einhorn's saccharimeter.]
(3) Fermentation Method.--This is convenient and satisfactory, its
chief disadvantage being the time required. It {82} depends upon the
fact that glucose is fermented by yeast with evolution of CO_{2}. The
amount of gas evolved is an index of the amount of glucose. Einhorn's
saccharimeter (Fig. 25) is the simplest apparatus.
Public-domain text, read in full here on John Shaqi.
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