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RENAL FUNCTION AS MEASURED BY THE ELIMINATION OF FLUIDS, SALT AND NITROGEN, AND THE SPECIFIC GRAVITY OF THE URINE

RENAL FUNCTION AS MEASURED BY THE ELIMINATION OF FLUIDS, SALT AND NITROGEN, AND THE SPECIFIC... Abstract During the last few years the study of renal function has largely confined itself to the determination of kidney activity as measured by the quantitative excretion of various dyestuffs and chemicals, either those normally found in the urine or foreign substances which have been fed or injected. By observing the kidney in this manner, notable results have been obtained, especially with phenolsulphonephthalein, lactose, potassium iodid, urea, salt and kreatinin. In most instances, the outcome of intensive study has been the discovery that the elimination of nearly all of these substances may at times be increased quantitatively, in spite of marked renal lesions, or their complications, such as uremia. To supplement such tests, Hedinger and Schlayer1 have recently proposed a qualitative test of the mode of urinary function, as measured by the specific gravity, salt and water excretion in two-hourly periods. These authors show how the urinary response References 1. Hedinger and Schlayer: Deutsch. Arch. f. klin. med. , 1914, cxiv, 120. 2. Bayne-Jones ( The Archives Int. Med. , 1913, xii, 90)Crossref 3. Koranyi and Richter : " Physiakalische Chemie und Medizin ," Leipzig, 1908, ii, 136-152. 4. Von Noorden : Handbuch der Pathologie des Staffwechsels . Berlin, 1906, i, 994. 5. Quincke: Arch. f. exper. Path. u. Pharmakol. , 1913, xxxii, 211. 6. Von Leube: Deutsch. Arch. f. klin. Med. , 1869, v, 372. 7. Runeberg: Deutsch. Arch. f. klin. Med. , 1880, xxvi, 211. 8. Wilson: Lancet, London , 1889, I, (67th year), 1299.Crossref 9. Iljisch: München. med. Wchnschr. , 1896, xciii, 1299. 10. Laspeyres: Deutsch. Arch. f. klin. Med. , 1900, lxviii, 175. 11. Pehu: Rev. de méd. , 1903, xxiii, 379. 12. In collecting separate night and day specimens, the precautions previously mentioned, that supper be taken three hours before the night urine collection is begun, that no food or fluid be allowed during the night, and that the night specimen be completed before breakfast is eaten, have been strictly observed throughout. 13. Lusk: The Science of Nutrition, 1909, p. 120. 14. Krehl : Die Erkrankungen d. Herzmuskels, 1913, p. 448. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

RENAL FUNCTION AS MEASURED BY THE ELIMINATION OF FLUIDS, SALT AND NITROGEN, AND THE SPECIFIC GRAVITY OF THE URINE

Archives of Internal Medicine , Volume XVI (5) – Nov 1, 1915

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Publisher
American Medical Association
Copyright
Copyright © 1915 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1915.00080050042002
Publisher site
See Article on Publisher Site

Abstract

Abstract During the last few years the study of renal function has largely confined itself to the determination of kidney activity as measured by the quantitative excretion of various dyestuffs and chemicals, either those normally found in the urine or foreign substances which have been fed or injected. By observing the kidney in this manner, notable results have been obtained, especially with phenolsulphonephthalein, lactose, potassium iodid, urea, salt and kreatinin. In most instances, the outcome of intensive study has been the discovery that the elimination of nearly all of these substances may at times be increased quantitatively, in spite of marked renal lesions, or their complications, such as uremia. To supplement such tests, Hedinger and Schlayer1 have recently proposed a qualitative test of the mode of urinary function, as measured by the specific gravity, salt and water excretion in two-hourly periods. These authors show how the urinary response References 1. Hedinger and Schlayer: Deutsch. Arch. f. klin. med. , 1914, cxiv, 120. 2. Bayne-Jones ( The Archives Int. Med. , 1913, xii, 90)Crossref 3. Koranyi and Richter : " Physiakalische Chemie und Medizin ," Leipzig, 1908, ii, 136-152. 4. Von Noorden : Handbuch der Pathologie des Staffwechsels . Berlin, 1906, i, 994. 5. Quincke: Arch. f. exper. Path. u. Pharmakol. , 1913, xxxii, 211. 6. Von Leube: Deutsch. Arch. f. klin. Med. , 1869, v, 372. 7. Runeberg: Deutsch. Arch. f. klin. Med. , 1880, xxvi, 211. 8. Wilson: Lancet, London , 1889, I, (67th year), 1299.Crossref 9. Iljisch: München. med. Wchnschr. , 1896, xciii, 1299. 10. Laspeyres: Deutsch. Arch. f. klin. Med. , 1900, lxviii, 175. 11. Pehu: Rev. de méd. , 1903, xxiii, 379. 12. In collecting separate night and day specimens, the precautions previously mentioned, that supper be taken three hours before the night urine collection is begun, that no food or fluid be allowed during the night, and that the night specimen be completed before breakfast is eaten, have been strictly observed throughout. 13. Lusk: The Science of Nutrition, 1909, p. 120. 14. Krehl : Die Erkrankungen d. Herzmuskels, 1913, p. 448.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1915

References

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