Treatise on Bright's disease of the kidneys : its pathology, diagnosis, and treatment with chapters on the anatomy of the kidney, albuminura and the urinary secretion / by Henry B. Millard.

  • Henry Millard
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Treatise on Bright's disease of the kidneys : its pathology, diagnosis, and treatment with chapters on the anatomy of the kidney, albuminura and the urinary secretion / by Henry B. Millard. Source: Wellcome Collection.

    309/354 (page 283)
    rano-ements, the pulse was hard and tense, there was in- creased and violent impulse of the heart, and excessive How of urine, for two weeks at least 24 quarts being passed every twenty-four hours. Under the influence of this remedy, a drop of a one per cent, solution being civen four times daily, the urine fell from 12 to 5 quarts daily Its use had to be suspended in three weeks, as ^ it produced distressing, bursting headaches. The specific gravity of the urine in this case was, while the urine was so abundant, 1.000 to 1.003 ; afterward it reached 1.005. Albumin was found only occasionally, and then only in very minute quantities. The micro- scope had shown no indications of nephritis, except a few epithelia from the convoluted tubules. As this patient came under my care only a few days before my departure abroad in July, and he has been under my care again only for ten days, I hope at a future time to present fuller details of this case, which is full of inter- est from every point of view. [This patient died two years after the above was written of chronic spinal meningitis with cerebral complications.] Digitalis is a valuable diuretic where the diminished flow of urine is dependent upon enfeebled action of the heart, and may, like convallaria, be administered in similar cardiac conditions. The comparative spheres and modes of action of these two remedies in cardiac de- rangements are as yet not strictly defined. Digitalis has the°merit of not being an irritant diuretic. It is more fully spoken of in Chapter XXI. Iron, especially the chloride, is often of use in chronic interstitial nephritis ; it is especially so in enfeebled muscular action of the heart, alone or in combination with digitalis. Iron is ordinarily of most use in pro- portion as the hepatic, digestive, and assimilative func- tions are normal, and as the albuminous phenomena are remote from or independent of recent and fresh con-