Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

27/440 (page 11)

much improved after a five months' stay in hospital, and on his subsequent return on two occasions for short periods and for slight ailments, nothing abnormal was discovered in his urine. The other cases were as follows :—A man, aged 6i, with right hemiplegia; a woman, aged 58, with pneumonia on both sides; a child, with diphtheritic laryngitis, on whom tracheotomy had been performed in the surgical ward; a man, aged 55, with cancerous stricture of the oesophagus; a man, aged 26, with pneumonia on the left side ; and lastly a theological student, aged 21, who, as stated by his physician, had suffered four years previously from diphthe- ritic inflammation of the throat, with dysentery and haemor- rhagic nephritis as sequelaa, and lastly from neuritis of the left brachial plexus, followed by paresis and atrophy of all the muscles of the arm. This latter affection had entirely subsided after lasting about a year, so that when I examined him in July, 1880, the action of the left arm was almost normal, and the limb appeared to be only a little weaker than the right. (Its circumference, as measured at various points, was still .5—2 ctm. less than that of the right.) For some time albuminuria had remained as a sequela of the nephritis, and the patient had learnt how to test for albumen by boiling his urine. After about a year and a half had elapsed, during which time the quantity of albumen had gradually diminished, nothing abnormal could be discovered by means of this test; subsequently, on boiling the urine, albumen was occasionally discovered. When I examined him, only the urine passed after the midday meal became permanently cloudy on long boiling and the addition of acid (see II and V, Albuminuria of Digestion), the urine passed at other times contained no albumen coagulable on boiling, but certainly pro-peptone. It should be remarked that the patient had never suffered from oedema, and in spite of the four years' continuance of the albuminuria there was no trace of any cardiac hypertrophy. He felt also perfectly well, and applied to me only for an explanation with regard to the state of his urine. In all cases the test for pro-peptone was that the urine remained clear on boding, but became cloudy or yielded a