A manual of veneral diseases : being an epitome of the most approved treatment / by Everett M. Culver and James R. Hayden.

  • Culver, Everett M.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: A manual of veneral diseases : being an epitome of the most approved treatment / by Everett M. Culver and James R. Hayden. Source: Wellcome Collection.

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    proceed to examine the urine. This examination should be made in all cases; one thereby discovers whether the reaction is acid or alkaline; if the specific gravity is very- high the examination may lead to the discovery of a complicating saccharine diabetes, or the existence of a gouty condition, either of which will require treatment in order to insure the cure of your patient. Albumin will assuredly be present, from admixture of pus and blood. The microscopic examination of a few drops of the urine from the bottom of a conical glass which has stood in a protected spot for twelve hours will show if the bladder or the kidneys are diseased. Test-papers for your ex- aminations need to l)e very fresh, and must be protected from the fumes of the laboratory by keeping them in salt-mouth bottles with ground-glass stoppers. Relative degrees of acidity of the urine are, of course, declared by more or less redness of the paper. All apparatus should be scrupulously clean, especially the conical glasses, since sediment from a former specimen might show in the slide next prepared. Treatment. Having ascertained the chai^acter of the urine by the preliminary chemical analysis, inquire whether urinating causes much pain. For this very disagreeable and one of the most prominent symptoms of the first week or ten days, your chemical analysis has prepared you to answer. The urine, which is physio- logically acid, needs to be alkaliuizcd by some alkaline mixture, and furthermore diluted by mechanical dilu- ents, as by large quantities of milk or pure cool water. If vesical irritation is evinced by the frequent desire to urinate, or an uneasiness of the bladder accompanied by a feeling of heaviness just over the ])ubes, the addition of a little sedative to your alkaline solution will help