A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Microscopically, the urine is found to contain, in addition to its
usual elements, immense numbers of molecular particles easily soluble
in ether, and therefore fatty in their composition. It may be rendered
perfectly clear by the addition of ether, and again approximately milky
after evaporating the ether and shaking the residue; but now the
microscope shows the oil in the shape of oil-drops and not molecules.
Oil-drops are also sometimes sparsely present in the fresh fluid, but
the fatty particle is commonly molecular. Indeed, the molecules are
commonly so small that an {115} aggregated mass of them appears like a
delicate cloud under the microscope, rather than a collection of
individual particles. Blood-corpuscles may also be present, sometimes
in sufficient quantity to produce a distinct pink coloration, but no
unusual proportion of leucocytes is common. The pink tinge, and even an
almost bloody appearance, is very apt to precede the chyluria. This
bloody character sometimes gradually increases until the chyluria has
become a hæmaturia, so that we have sometimes a chyluria spoken of as a
first stage of hæmaturia. Tube-casts do not occur. Chyluria is seldom
constant, and a specimen of urine passed a couple of hours after one
white as milk may be, again, perfectly clear and in all respects
natural. Thus, a second specimen, passed by the same patient as that of
which the analysis is given above, was almost clear. It had a specific
gravity of 1010 and a slightly acid reaction, and contained a mere
trace of deposit, consisting of a little epithelium, a few cells larger
than lymph-corpuscles, and a few small cells, probably minute fungi.
Not the slightest precipitate was produced by the application of heat
or addition of nitric acid. The following is Beale's analysis:
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . 978.8
Solid matter . . . . . . . . . . . . . . . . . . . . . . . 21.2
-----
Urea . . . . . . . . . . . . . . . . . . . . . . . . . . 6.95
Albumen . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
Uric acid . . . . . . . . . . . . . . . . . . . . . . . . .15
Extractive matters with uric acid . . . . . . . . . . . . 7.31
Fat insoluble in hot and cold alcohol, but soluble in ether|
Fat insoluble in cold alcohol . . . . . . . . . . . . . . | .00
Fat soluble in cold alcohol . . . . . . . . . . . . . . . |
Alkaline sulphates and chlorides . . . . . . . . . . . . 5.34
Alkaline phosphates . . . . . . . . . . . . . . . . . . . 1.45
Earthy phosphates . . . . . . . . . . . . . . . . . . . . .15
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