Manual of urine testing : including the physical characters, qualitative and quantitative examination of the urine together with the clinical information to be derived therefrom / by John Scott.

  • Scott, John
Date:
1897
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Licence: Public Domain Mark

Credit: Manual of urine testing : including the physical characters, qualitative and quantitative examination of the urine together with the clinical information to be derived therefrom / by John Scott. Source: Wellcome Collection.

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    86 V. —“ Tapping ’ the Ureters. - Sir H. Thompson advises this procedure—see “Collection of Urine for Examination purposes,” pages 1 and 2. VI. —Jaksch asserts that “when blood-cells are intimately mixed with the urine in such a way that though present in large quantity and deeply tinging the fluid, they do not form a sediment after many hours standing - it may be inferred that the haemorr- hage took place in the substance of the kidney, or in the renal pelvis or ureters. If, under these circum- stances, they are seen with the microscope to be profoundly altered, having lost their colouring matter, and presenting the appearance of pale yellow rings, the further conclusion results that the blood was effused in the kidney itself, and the symptom points to acute nephritis, or to a fresh exacerbation in the course of chronic nephritis. VII. —The passage of visible fragments of growth occurs usually only in vesical neoplasms. VIII. —Microscopy.—The presence of blood-casts points to haemorrhage from the kidney ; that of the eggs of Bilharzia Hcematobia usually to haemorrhage from bladder. Note.—General treatment of profuse Hcematuria, whether due to injury or disease.—Absolute rest in bed. Topical application of cold (ice, Leiter’s tubes, &c.)—more especially in haemorrhage of upper part of urinary tract, e.g., ruptured kidney. Avoid purgatives, prefer enemata. Diet to sonsist of slops. Drugs: Ergot with opium; Nux Vomica in atonic states. II. Morbid condition of Vascidar system (Haemoglobin only present—Haemoglobinuria (Haematinuria ?). Haemoglobinuria may arise from Constitutional disturbances, e.g., Scurvy, Purpura, Haemophilia, Haemorrhagic Smallpox, Malarial or other Fevers; Sunstroke. Note.—Inhalation of Arseniuretted Hydrogen, in- troduction of Bile-acids or of much water into the veins, &c., may also give rise to it.