Diseases of the kidneys and of the spleen, hemorrhagic diseases / by H. Senator and M. Litten ; edited, with additions by James B. Herrick ; authorized translation from the German, under the editorial supervison of Alfred Stengel.

  • Hermann Senator
Date:
1905
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the kidneys and of the spleen, hemorrhagic diseases / by H. Senator and M. Litten ; edited, with additions by James B. Herrick ; authorized translation from the German, under the editorial supervison of Alfred Stengel. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    To guard against the evil effects of cold, a cautious use of hydro- therapeutic procedures calculated to harden the body has been recom- mended (Klemperer ^) and certainly deserves a trial, although the writer himself in one case failed to obtain any good result in this way. [The writer has seen 2 cases of recurrent or paroxysmal hemat- uria that in some respects resemble very closely paroxysmal hemoglo- binuria, although the urine always contains blood-corpuscles in large numbers, but not the free hemoglobin. Both patients are young men, about thirty years old, leading rather quiet, sedentary lives, of good habits and with no luetic taint. The urine of the one in the intervals is normal and the patient appears to be in perfect health. But upon four occasions and without ascertainable cause there have come on chilli- ness, pain in the back and legs, slight temperature for a few days, with bloody urine containing considerable albumin and a few casts. In about a week the trouble disappears. The second young man has at all times the signs of a chronic interstitial nephritis—moderate albu- minuria, a few casts, cardiac hypertrophy with increased vascular ten- sion. Subjectively he feels well. Yet every winter for nine years he has been taken, generally after exposure to cold, with chill, severe pain, in the back, followed by marked hematuria lasting for three or four days, though blood shows microscopically for a longer time. So similar is one attack to another that he has learned the significance of the chill and pain in the back and at once goes to bed, sends for a physician, and calls attention to the certain appearance of blood in the urine.—Ed.] FAT IN THE URINE; LIPURIA AND CHYLURIA.^ Fat is excreted in the urine under a great variety of conditions^ When the fat is finely divided and suspended by albumin in the form of an emulsion, giving the urine a milky or chylous appearance, the condition is spoken of as chyluria or galaciuria ; under other conditions the presence of fat in the urine is designated lipuria or adiposuria, pro- viding there is an appreciable quantity of fat present. In cases belong- ing to the latter group, which are comparatively rare, the fat can be seen with the naked eye in the form of drops, or, after the urine cools, as solid suet-like particles floating on the surface of the urine. The occurrence of fat in the urine in minute traces not recognizable with the naked eye is much more common. In every case of lipuria, and particularly when the fat can be recog- nized with the naked eye, the possibility of the urine having been pol- luted after its evacuation, either intentionally or unintentionally, as by the introduction into the bladder of a lubricated catheter, the use of an improperly washed receptacle, or the admixture of fat-containing fluids, ^ Charite-Ann., N. F. xx., and Berlin, klin. Woch., 1895, No. 36. ^ For the literature see Aug. Kassman, Ueber Fettharn, Diss., Halle, 1880; E. Robert, Ueber Fettharn, Schmidt's Jahrb. d. ges. Med., 1881, vol. clxxxix., p. 1 ; F. Monvenoux, Les matitres grasses dams Purine, Paris, 1884, 2 vols.; Senator, article, Chylurie, in Eulenburg's Bealencyklop. der ges. Heilk., 3d ed., 1894, vol. iv., and Lipurie, vol. xiii.; Sehrwald in Klin. Handb. der Harrtr u. Sexualorgane by Ziilzer-
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