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.

    72/354 (page 46)
    I have myself examined the urine of a large number of patients unaffected by any renal difficulty, maW m many cases repeated examinations of the urine of the same patient, the examinations being made with the gi^atesa precautions, without finding a trace of albu- mm The urine of many of these patients was exam- ined under a great variety of circumstances, and I shou d state that the urine was in most cases that of people who consulted me for some derangement of health, some of the patients suffering from cancer of the stomach, ulceration of the stomach, cirrhosis of the liver gout, dyspepsia, glycosuria, and a great variety 01 ailments. In doubtful cases, or where there is only albumina minima, m examining the urine for albumin I first filter the urme through a double thickness of Swedish filter- ing paper ; the cellulose or vegetable albumin of the gray French paper gives a reaction of albumin with the potash and phenic and acetic acid test. If this does not perfectly clarify it, though this is rare, I boil with liquor potassse, and filter again. Then I employ Hel- ler's test by nitric acid, using a test-tube about seven- eighths of an inch in diameter. ]Numerous experiments that I have made with nitric acid have shown me that it will not detect more than of one per cent, of albu- min, or 1 part in 100,000. If the albuminous line be absent, I resort at once to Tanret's or to my own test Lecorche and Talamon, after numerous and extensive experiments with the principal tests for albumin, in which they devote a good deal of space to my own, sum up by saying they consider it incontestably supe- rior even to Tanret's in testing for minute quantities of albumin, giving their reasons for their conclusions. They prefer it not only on the score of delicacj^, but of accuracy and clearness. My own experience is tliat this test will show 1 part of albumin in 300,000, Tanret's