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
GENERAL SYMPTOMS OF BRIGHT'S DISEASE.--There are a certain number of
symptoms common to all the varieties of Bright's disease, and it is
convenient to consider them before going on to the special description
of each of these varieties. These symptoms are--
Changes in the Urine.--Healthy adults usually secrete during the
twenty-four hours from 40 to 50 ounces of urine of a light-yellow
color, of acid reaction, of a specific gravity of 1015 to 1025, and
holding in solution a number of excrementitious substances. Small
amounts of albumen and of sugar seem to be, in some persons,
physiological ingredients of the urine.
In most cases of Bright's disease the quantity of the urine at some
time in the course of the disease deviates from the normal standard.
Either the urine is increased in amount or diminished or suppressed,
and in the course of the same case the urine may be at one time
increased, at another diminished.
We find in healthy persons that the quantity of urine varies with the
amount of fluids that are imbibed and with the condition of the skin
and the bowels--that nervous influences and certain drugs will increase
or diminish the amount of urine. Physiologists teach us that the amount
of urine excreted varies with the degree of the blood-pressure in the
renal arteries or with the rapidity with which the blood circulates
through these arteries.
The urine may be very much increased or diminished in amount as the
result of various morbid conditions. Scanty urine or suppression of
urine is observed in the course of acute parenchymatous and acute
diffuse nephritis and in the early stages of the development of the
large white kidney. During the course of any case of chronic Bright's
disease there are usually periods during which the urine is scanty or
suppressed, especially toward the close of the disease. The kidney
lesions which complicate scarlet fever, yellow fever, and cholera are
often attended with suppression of urine. Any diseases accompanied by a
well-marked rise of temperature are apt to be associated with a
diminution in the amount of urine. Injuries to the urethra, even very
slight ones, may be followed by complete suppression of urine, without
any changes in the kidneys except congestion.
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