Selections From the Writings Medical And Neurological of Sir William Broadbent
Selections From the Writings Medical And Neurological of Sir William Broadbent
W H William Henry Broadbent
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There were just six weeks to the examination when I saw the patient ; but in this time by exercise and fresh air, tonics and mild mercurial aperients, the albumen was dismissed. Intermittent albuminuria does not arise from kidney disease, and it is not a result of mal-assimilation of food, as has been sup- posed from the fact that the urine passed early in the morning will contain no albumen, while that passed after breakfast does. It is a circulatory phenomenon, and ;the reason why the urine p...assed after breakfast contains albumen is, not that the patient has taken food, but that he has assumed the erect position. If he breakfasts in bed the albumen does not appear ; if he gets up and moves about, without taking breakfast, it comes. A young American girl I once saw had no albumen in the urine so long as she remained on one floor, but if she went upstairs it was always said to appear. The pulse in these cases is unstable, at one time manifesting CANDIDATES FOR THE ARMY 243 moderately high tension, at another low in tension.
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