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
An exceedingly delicate and convenient test is that by nitric acid. The
acid is placed in the bottom of a conical wine-glass, and the urine,
filtered if necessary, allowed to flow on top of it from a pipette, so
as to disturb the plane of junction of the two fluids as little as
possible, and leave a distinct line of demarcation. At this plane of
union, if albumen be present, will be formed an opaque white line
varying in thickness according to the amount of albumen, so that after
some practice and with care an approximate estimate of the percentage
may be made. A deposit of urates may sometimes be formed a little above
the plane of union, but it may be distinguished by its position, by its
less distinct limitation on the upper surface, and also by its
disappearance on warming. In a very concentrated urine and in cold
weather this error may be conveniently avoided by previous warming of
the urine and of the reagent. The same remark applies to the brine
test.
A crystalline precipitate of nitrate of urea may give rise to error if
the urine be very concentrated or the experiment conducted in the cold.
This may be distinguished by its disappearance on warming or by the
microscope. The action of the nitric acid on the coloring matter of the
urine, forming a dark band at the point of junction, may obscure the
reaction, but with care will not give rise to mistakes.
Another test recently introduced, which presents some advantages over
the nitric acid, and is certainly quite as delicate, consists in a
saturated solution of common salt in water acidulated with about 5 per
cent. of the dilute hydrochloric acid of the _Pharmacopoeia_. This
solution should be used exactly in the manner described for nitric
acid. There is no change of color at the line of junction, and no
precipitate takes place there except albumen or peptone, or resins when
they have been administered. The opaque line of precipitate may, if the
amount of albumen present be small, require a short time to form, so
that in cases of doubt it is well to allow the test-glass to stand for
a few minutes. It will, however, show very distinctly in any cases in
which nitric acid shows any precipitate. The line does not, however,
increase in thickness and density in proportion to the amount of
albumen so exactly as that produced by nitric acid, so that the brine
test is not so useful for approximately quantitative use as the nitric
acid, although fully as delicate. If it be desired to distinguish
peptone from albumen, it may be done by a comparison of this test {37}
with the nitric acid, which does not throw down peptone. If a deposit
occur, which may consist of resin, the addition of more urine will
dissolve it if resin, while albumen will not be affected.
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