Thoughts on uræmia / by Gunning S. Bedford.

  • Gunning S. Bedford
Date:
[1853?]
Catalogue details

Licence: Public Domain Mark

Credit: Thoughts on uræmia / by Gunning S. Bedford. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    vation--and it appears to me important that this fact should be well understood, for the reason that much error has arisen from the opinion entertained by certain writers, that there is a direct connection between uraemia and al- buminuria. This error is not so much owing to any in- herent difficulty of the subject, as it is to that loose appre- ciation of facts, or, more properly speaking, to that want of healthy digestion of well settled principles, which, un- fortunately, too often characterises the writings of profes- sional authors. I might cite a long list of observers, to show that albumen very frequently exists in the urine without any development of uraemic intoxication; but I apprehend this would be unnecessary. I shall, therefore, limit myself to two or three undoubted references. Franz Simon, for example, says he has frequently detected albu- minuria in persons apparently in the enjoyment of good health; also, others have observed it in articular rhuma- tism, in inflammation of the thoracic organs, intermittent and typhus fevers, in measles, cholera, chronic alfections of the liver, &c. In transitory renal catarrh, such, for instance, as occurs in erysipelas, nearly as often as in scar- latina, albumen, together with the well known epithelial cylinders of Bellini's ducts is found as constantly in the urine as in inflammatory affections of the kidnies, where it exists in connection with the fibrinous plugs from the same ducts, as in true Brights' disease. (1) Edouard Robin says, the urine becomes albuminous in croup, in ascites, and in cases of capillary bonchitisi with emphysema accompanied by dyspnoea; in pulmonary pthisis, in gestation when sufficiently advanced to occasion an habitual congestion of the kidnies; in cyanodis, diabe- tes, &c., &c. (2.) In order to prove that albumen may exist in the urine (1.) Physiological chemistry by Lehmann, T. 1, p. .^5. (2.) Ed. Robin, London Lancet, Jan. 24th, 1852, p. 96.
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