Remarks upon chylous, or milky urine with an account of two cases of that disease / by C.E. Isaacs.

  • Isaacs, C. E. (Charles Edward), 1811-1860.
Date:
[1859?]
Catalogue details

Licence: Public Domain Mark

Credit: Remarks upon chylous, or milky urine with an account of two cases of that disease / by C.E. Isaacs. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    in perfect health. His urine, then, was only occasionally milky. Sometimes it would not be so for a week or two, and then would become milky for many clays. lie now ob- serves, that the urine voided a short time after eating is always milky. Sometimes he suffers from retention, for a few hours, and then, when the urine starts, a long, cylindri- cal, fibrinous coagulum will come out first, with great force, and then the milky fluid escapes freely. He says he has been quite well, and able to work all the while, since he first noticed this peculiar appearance of the urine. lie has had both gonorrhoea and syphilis, and has taken large quan- tities of the iodide of potassium during the last three years. He has also been profusely salivated. His general health at present does not seem to be much impaired ; he eats and sleeps well. For a short time before he noticed the appear- ance of the milky urine, he suffered from pain in the lum- bar region, which continued until two months ago. He thinks that he has lost flesh, to some extent, and says that he easily gets tired in ascending the stairs. His urine does not change on standing, and always coagulates with heat and nitric acid. As a general rule, that which he passes first in the morning is clear, and that which he voids after breakfast is milky. The quantity passed in the twenty-four hours is normal. On the 11th of December, I examined a specimen of this man's urine. This urine had the precise color of milk. The odor was peculiar, and resembled that of moist clay. Specific gravity 1012—acid reaction ; contained no coagula of fibrin; coagu- lated by heat, nitric acid, and alcohol. A drop placed un- der the microscope, exhibited an exceedingly fine molecular arrangement. A quantity of this urine, agitated in a vial, with sulphuric ether, instantly became divided into two dis- tinct portions. The upper layer was composed of the ether, which was now of a deep yellow color. The inferior layer was of a slightly brownish-yellow color, and semi-transpa- rent, like clarified horn. This consisted of albumen. The upper layer, allowed to evaporate, left a copious deposit of