Clinical diagnosis a text-book of clinical microscopy and clinical chemistry for medical students, laboratory workers, and practitioners of medicine / by Charles Phillips Emerson.

  • Emerson Charles Phillips, 1872-1938.
Date:
1911
Catalogue details

Licence: In copyright

Credit: Clinical diagnosis a text-book of clinical microscopy and clinical chemistry for medical students, laboratory workers, and practitioners of medicine / by Charles Phillips Emerson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    1. Fluid quite opalescent; specific gravity, 1004.3; solids, 2.837 per cent. Alco- hol precipitate 1.98 per cent, resembles macerated filter paper, is not stringy, can be reduced to a fine white powder, difficultly soluble in water to an opalescent fluid. Watery extractives 0.524 (ash. 0.388) per cent. Alcohol-ether soluble ex- tractives, 0.2056 (ash, 0.108) per cent; fat, cholesterin, etc., 0.96 per cent. 2. Fluid reddish-yellow, considerable sediment of small epithelial and some large epithelial cells with coarse refractile granules; filters clear. Specific gravity, 1008.04; solios, 2.32 per cent. Alcohol precipitate similar to above. 3. Bluish opalescence; specific gravity, 1007.3. Of some of the multilociilar cysts the contents are thick, not espe- cially viscid, but a suspension of glistening masses of cholesterin crys- tals and of a yellow-red or brown color, depending on the blood pigment. Of a recent case the figures were, specific gravity, 1025.9. The alcohol precipi- tate, 10.56 per cent., contained no reducing body. Half saturation of the original filtered fluid with (NH4)2S04 gave a precipitate 0.692 per cent, (globulin?) ; albu- min? 0.604 P^r cent. Extractives, soluble in water, 1.46 (ash, 0.266) per cent.; alcohol-soluble extractives, 0.56 (ash, 0.44) per cent. Microscopically a great amount of detritus in the sediment, with very large cells (epithelial) full of glistening granules, cholesterin crystals, and fat needles. In another similar case the specific gravity of the fluid was 1030.6. The sediments contain much detritus, red blood-cells, leucocytes, large epithelial cells, single and in groups, filled with granules like fat, large masses of fatty granules, cholesterin crystals, and colloid gran- ules which are large, circular, strongly refractive bodies. In the case of a dermoid, the contents of which contained much paramucin, serum globulin and albumin could also be demonstrated. Water content of the jelly, 92.2 per cent. The alcohol precipitate in one case was 3.3 per cent. Water- soluble extractives, 0.4 (ash, 0.27) per cent. Alcohol-ether extractives, 0.25 (ash, 0.16) per cent. Tubo-ovarian Cysts.—The contents of these are watery^ thin, serous, and contain no pseudomucin. Parovarian Cysts.—These contain a thin watery fluid of a very pale yellow^ or colorless or slightly opalescent appearance. Specific gravity, 1002 to 1009; solids from 10 to 20 per litre; no pseudomucin. Albu- min may fail entirely or be only slight in amount. It consists, there- fore, of w^ater and extractives. Fig. 125.—Cholesterin cr3-sta]s. X 400.