Jaundice : its pathology and treatment with the application of physiological chemistry to the detection and treatment of diseases of the liver and pancreas / by George Harley.

  • Harley, George, 1829-1896.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: Jaundice : its pathology and treatment with the application of physiological chemistry to the detection and treatment of diseases of the liver and pancreas / by George Harley. Source: Wellcome Collection.

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    PAOK —Advantage of at the same time ascertaining the quantity of uric acid present—Effect of the bile pigment becom- ing deposited in the kidneys—Production of secondary disease . ... . . .55 Diagnostic value of the presence of the bile-acids in the urine — Views of Frerichs, Stadler, and Kiihne — Hoppe's method of detecting the bile-acids—rrerichs's theory of the transformation of bUe-acids into biliver- dine shown to be untenable • . . .58 Diagnostic value of the presence of tyrosine, and leucine in the urine—IVIicroscopic appearances of these substances — Mode of separating them from urine—Chemical tests . . . . . . .63 Melanine in the urine in cases of cancer of the liver—The characters by which it is to be distinguished from bile pigment—Case related showing the value of the test . 68 Diagnostic value of ascertaining the quantity of urea, and uric acid, as well as the presence of sugar in the urine in obscure cases of jaundice—History of a case illus- trating the value of such knowledge—Significance of the presence of fatty acids in the faeces in the diagnosis of pancreatic disease—Pancreatine administered—Efiect of bile-poisoning on the memory—Analysis of the pa- tient's urine—Diagnostic value of the quantity of its constituents pointed out—Appearance of sugar as the forerunner of a fatal termination alluded to—Disappear- ance of bile-acids, and appearance of tyrosine and leu- cine in the latter stages of the disease—Post-mortem appearances described—Occlusion of bile, and pan- creatic ducts—Analysis of healthy and diseased bile— Change in the proportion of the organic greater than in that of the inorganic constituents—Microscopic ap- pearances of liver—Presence of crystals of cystine, as well as of tyrosine in the hepatic parenchyma . , 70