Metabolism and Practical Medicine Volume 2

Metabolism and Practical Medicine Volume 2

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1907 edition. Excerpt: ...the process of the formation of biliary acids in jaundice. The following example, selected from L6pine's work on cholelithiasis, illustrates the course of excretion of neutral sulphur in jaundice: May 2: light jaundice., 3: light jaundice; neutral sulphur = 31 per cent... 6: sudden increase of jaundice., 7: marked jaundice; neutral sulphur = 43 per cent. 10: marked jaundice; neutral sulphur=20 per cent. Total sulphur =100. F. Miiller (6), who studied a case of jaundice from gall-stones of somewhat long standing, found on three days the values of the neutral sulphur to be 22-9, 15-7, and 10-7 per cent. of the total sulphur. Later in the same case, but with different diet, the values were 19-2 and 17-4 per cent. In a case of carcinoma of the stomach and liver, accompanied by jaundice, the findings were 29-0, 21-1, and 16-1 per cent. These figures confirm Lepine's idea that the neutral sulphur diminishes the longer the jaundice continues. On the other hand, a marked decrease, and even a lowering of the normal values, should be expected in chronic obstructive jaundice, provided the assumption is correct that in cases of disturbed outflow of bile into the intestine the production of biliary acids is markedly reduced by the interruption of the circulation of bile acids. Since this is not observed, the relation of the hardly oxidizable sulphur to taurocholic acid must be re-investigated before an opinion on the formation of bile acids can be based on the excretion of neutral sulphur. Hence it does not follow that Schmidt (6) should assume that the production of bile acids, even in long-continued jaundice, suffers no reduction, because he but rarely found high values for the neutral sulphur in his case of jaundice. According to Benedict (6), a...show more

Product details

  • Paperback | 260 pages
  • 189 x 246 x 14mm | 472g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236649176
  • 9781236649171