A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
About a liter of urine is acidified with 10 c.c. hydrochloric acid,
and a small piece of copper-foil or gauze is introduced. This is
gently heated for an hour, and allowed to stand for twenty-four hours.
The metal is then removed, and washed successively with very dilute
sodium hydroxid solution, alcohol, and ether. When dry, {99} it is
placed in a long, slender test-tube, and the lower portion of the tube
is heated to redness. If mercury be present, it will volatilize and
condense in the upper portion of the tube as small, shining globules
which can be seen with a hand-magnifier or low power of the
microscope. If, now, a crystal of iodin be dropped into the tube and
gently heated, the mercury upon the side of the tube is changed first
to the yellow iodid and later to the red iodid which are recognized by
their color.
Morphin.--Add sufficient ammonia to the urine to render it distinctly
ammoniacal, and shake thoroughly with a considerable quantity of pure
acetic ether. Separate the ether and evaporate to dryness. To a little
of the residue in a watch-glass or porcelain dish add a few drops of
formaldehyd-sulphuric acid, which has been freshly prepared by adding
one drop of formalin to 1 c.c. pure concentrated sulphuric acid. If
morphin be present, this will produce a purple-red color, which
changes to violet, blue-violet, and finally nearly pure blue.
Phenol.--As has been stated, the urine following phenol poisoning
turns olive-green and then brownish-black upon standing. Tests are of
value in recognizing poisoning from ingestion and in detecting
absorption from carbolized dressings.
The urine is acidulated with hydrochloric acid and distilled. To the
first few cubic centimeters of distillate is added 10 per cent.
solution of ferric chlorid drop by drop. The presence of phenol causes
a deep amethyst-blue color, as in Uffelmann's test for lactic acid.
Phenolphthalein, which is now being used as a cathartic under the name
of _purgen_, gives a bright pink color when the urine is rendered
alkaline with caustic soda.
{100} Quinin.--A considerable quantity of the urine is rendered
alkaline with ammonia and extracted with ether; the ether is
evaporated, and a portion of the residue dissolved in about twenty
drops of dilute alcohol. The alcoholic solution is acidulated with
dilute sulphuric acid, a drop of an alcoholic solution of iodin
(tincture of iodin diluted about ten times) is added, and the mixture
is warmed. Upon cooling, an iodin compound of quinin (herapathite)
will separate out in the form of a microcrystalline sediment of green
plates.
The remainder of the residue may be dissolved in a little dilute
sulphuric acid. This solution will show a characteristic blue
fluorescence when quinin is present.
Resinous drugs cause a white precipitate like that of albumin when
strong nitric acid is added to the urine. This is dissolved by
alcohol.
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