A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology — John Shaqi
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
Picric acid is a delicate and often a convenient test. The dry acid may
be dissolved in the urine, or a saturated solution used into which the
urine may be slowly dropped, each drop making a slight whitish cloud as
it slowly falls through the yellow solution.
The iodo-hydrargyrate of potassium is perhaps the most delicate test of
all: Potassii iodidi, 3.32 gm.; Hydrarg. bichlor., 1.35 gm.; Acidi
acetici, 20 c.c.; Aq. destill. q. s. ut fiat 100 c.c.--Tauret's test.
It may be used in the same way as the nitric acid or brine, or simply
intermixed. Its only disadvantage is that it throws down alkaloids, but
as this will not happen unless the alkaloid be taken in large
quantity--as might happen, for instance, in the case of quinine--the
chances of error from this source are not very great if this
peculiarity be borne in mind.
Ferrocyanide of potassium in an acid solution has recently been
proposed as a convenient test. It may be made up into pellets with
citric acid or used in the same combination in the form of papers.
The phenic-acid test is prepared as follows:
Ac. phenic. glacial. (95 per cent.), drachm ij;
Ac. acet. puri., drachm vij;
M. Add liq. potassæ, ounce ij-drachm vj.
Millard.
This is said to be very delicate, but the writer has no experience with
it.
Tungstate of sodium is another recent addition to the list, which it is
evident is already long enough for practical purposes.
Several of the tests mentioned have recently been prepared in the form
of papers saturated with known quantities of the reagent and dried.
They may be carried in the pocket-book and applied at the bedside, if
desired, in a test-tube small enough to be very conveniently carried in
the vest pocket. The iodo-hydrargyrate is perhaps the most useful. It
is the most delicate, and a plan has been proposed for making with it a
quantitative estimate of considerable accuracy by means of a standard
solution or piece of gray glass adjusted by such a solution, with which
the precipitate produced can be compared as to its opacity.
Exact quantitative examinations for albumen may be made by several
processes, but that by boiling, if carried out with the precautions
described in works on chemistry, is as accurate as any, and probably
the best adapted to the needs of the practitioner if he should wish for
such results.
For clinical purposes, however, it will rarely if ever be found useful
to determine the amount of albumen more accurately than can be done by
the various approximations mentioned above.
When even the smallest trace of albumen is discoverable by any of these
methods, the question of the integrity of the kidneys at once arises--a
question which a few years ago would have been considered as settled in
the unfavorable sense by the same occurrence.
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