Scientific American Supplement, No. 611, September 17, 1887 by Various
page 71 of 143 (49%)
page 71 of 143 (49%)
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A fair quantity of the urine, after shaking, should be placed in a
tall conical glass vessel, to allow easy collection of the precipitate for subsequent, microscopical examination. If an abundant amorphous deposit of a fawn or pink--from _uroerythrin_--color slowly settles and is readily diffused, _urates_ in excess can be anticipated. Their presence is proved by the readiness with which they dissolve on warming with the supernatant urine to about the temperature of the blood. No difficulty is experienced if small quantities of albumen are present, as that body is not coagulated until the temperature rises much higher. A sandy precipitate of free _uric acid_ will not dissolve on warming the urine, and its identity can further be determined by means of the microscope, or by applying a well-known color-reaction. A grain or so is oxidized into reddish alloxan and alloxantin by carefuly evaporating with a few drops of strong nitric acid on a piece of porcelain. A little ammonia is then added, when the fine _purple_ murexide stain will be produced. It is always advisable to mention the reaction to test papers of all samples received. Urine is normally _acid_, but there are certain diseases which render fluid neutral or alkaline. The urea of acid urine on standing is changed by a putrefactive ferment into ammonic carbonate, but this decomposition in a state of health should not take place for at least twenty-four hours. Alkalies, or organic salts of alkaline metals, when taken as medicine render the urine alkaline, and the indication is then not of much moment; but if none of these causes exist, the condition is of serious diagnostic import. Where it is desired to determine the degree of acidity of the urine voided, say, by a gouty patient, a dilute volumetric solution of caustic soda should be employed, using a few drops of an alcoholic solution of phenolphthalein as an indicator, and reporting in terms of oxalic |
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