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 is generally described as being of a saffron
colour; but if I may be allowed to form an opinion from my own
observations, which are tolerably numerous, I should say that it, in
colour, much more frequently resembles old ale than anything else with
which I am acquainted. On standing, the colour changes very
considerably, in consequence of the pigment becoming slowly oxidized by
its exposure to the air. When there is a very great excess of bile
pigment present in the blood, the kidneys have some difficulty in
eliminating it. Occasionally even, it chokes up the renal capillaries,
and thereby complicates the jaundice by inducing secondary disease in
the kidney. In such cases the external surface of the kidney, after the
removal of the capsule, looks as if it had been sprinkled over with
ink. The black specks vary in size from the minutest visible point to
that of a pin-head. The accompanying chromo-lithograph (Plate II.)
represents a kidney in this condition. {58} It will also be observed
that it is studded over with a number of small abscesses; but whether
these resulted from the blocking-up of the capillaries just alluded to
or not, it is impossible to say. In the case in question no albumen was
detected in the urine during life, and it was only on careful analysis,
after the post-mortem had revealed the above state of matters, that a
small quantity was discovered; and even then, had not the experiment
been carefully performed, the presence of albumen might have been
overlooked.
[Illustration: Plate II. Kidney from a Case of Permanent Jaundice.]
_Diagnostic Value of the presence of the Bile-Acids in the Urine._
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