Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
The urine of jaundice has invariably a peculiar tint, ranging from a
saffron-yellow to a dark olive-green, or almost black hue. It must not
be forgotten that the colour of normal urine varies with the degree of
concentration. Where little is passed, being of a high, where much is
passed, of a pale colour; the depth of colour depending on the degree
of dilution of the urohæmatine. Again, it must also be remembered that
there are many diseases, which change the colour of urine very
materially, some only deepening, others actually changing the tint.
Foods, and medicines also, {56} alter the colour of the renal
secretion. Rhubarb, and santonine give to it a saffron hue, arsenious
acid gas a black colour. Bearing in mind these facts, one would
hesitate before giving a decided opinion as to the presence or absence
of icterus from a mere inspection of the urine. For this reason, it is
generally recommended in cases of jaundice to pour a little of the
urine on a white plate, and watch the play of colours produced by
strong nitric acid. This method, however, is not always satisfactory,
for the play of colours depends on the different stages of oxidation
through which the pigment passes, and other animal pigments, besides
biliverdine, unfortunately act in a somewhat similar manner.
A very simple, and more convenient way of testing the pigment without
changing its physical characters, is to separate it in combination with
uric acid. This is readily done by simply acidulating the urine with a
few drops of hydrochloric acid, and setting it aside for twenty-four
hours to crystallize. The white uric acid in crystallizing takes up the
colouring matter, and assumes the hue of the pigment present in the
urine. I have thus obtained crystals of all the different hues from a
bright golden yellow tint through the intervening shades of red, brown,
blue, olive, to a dark, almost black colour. This experiment {57} has
another advantage, for if we take a measured quantity of urine, and
collect, dry, and weigh the uric acid obtained from it, we can readily
calculate the total quantity passed in the twenty-four hours, and
thereby assist in diagnosing the presence or absence of malignant
disease of the liver, as I shall afterwards have occasion to point out.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account