Clinical lectures on urine / by J. Rose Bradford.

  • Bradford, John Rose, Sir, 1863-1935.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on urine / by J. Rose Bradford. Source: Wellcome Collection.

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    do not get much milk, and not much in the way of proteid food, tea and bread are the staple articles of diet, and the amount of saline material ingested is scanty; and I pointed out to you when discussing uric acid, that a meat diet is not only rich in nitrogenous material, but is rich also in saline material, both phosphates and chlorides, so that the chlorides may undoubtedly play an im- portant part indirectly in that way, in keeping up a high percentage of saline material in the urine, and in that way keeping the urates in solution. One does not know any sound explanation of the reason for the diminution or even the dis- appearance of the chlorides in the urine in febrile states. There is no satisfactory explanation, and I do not waste your time over the cut and dried explanation which says that the chlorides are not in the urine, because they are in the exudation in the lungs in pneumonia. In fact, there is really no satisfactory explanation to be offered. The sul- phates, I think I may say, are of practically no clinical importance, but there is a good deal of scientific interest about them. Sulphur in the urine, as you probably know, is excreted in three forms: first of all as ordinary sulphates, metallic sulphates ; secondly, it is excreted in the form of what are known as aromatic sulphates, compounds of sulphuric acid, with various aromatic bodies of the indol and skatol group,—a considerable amount of sulphur is excreted in that way; and lastly, a small amount of sulphur is excreted in the urine normally
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