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Updated: June 28, 2025
Before his time, physicians had depended only on the color and the taste of the urine for diagnostic purposes. He proposed that they should weigh it, and even suggested that they should weigh, also, the blood, I suppose in case of venesection, for comparison's sake.
They said, "To the senses of others they are like the stinks arising from dunghills, the stenches from dead bodies, and the scents from stale urine." And it was asked them, "Are those things delightful to you?" They said, "Most delightful." And reply was made, "Then you are like unclean beasts which wallow in such things."
In compression of the brain, fracture of the skull may be present, subconjunctival hæmorrhages may be seen, the pupils are unequal and dilated, and the paralysis increases. In uræmic or diabetic coma the urine must be examined. The habitual use of opium is not uncommon, and opium-eaters are able to take enormous quantities of the drug.
Most of all he liked grilled mutton kidneys which gave to his palate a fine tang of faintly scented urine. Kidneys were in his mind as he moved about the kitchen softly, righting her breakfast things on the humpy tray. Gelid light and air were in the kitchen but out of doors gentle summer morning everywhere. Made him feel a bit peckish. The coals were reddening.
He should also notice if there are any signs of a struggle having taken place, if the hands are clenched, if the face is distorted, if there has been foaming at the mouth, and if urine or fæces have been passed involuntarily. Urine may be drawn off with a catheter and tested for albumin and sugar.
The history that the patient and his wife gave me from memory was that the urine had been scant, and at times painful to pass.
Of the cases of retention of urine, Fereol mentions that of a man of forty-nine who suffered absolute retention of urine for eight days, caused by the obstruction of a uric acid calculus. Cunyghame reports a ease of mechanic obstruction of the flow of urine for eleven days. Trapenard speaks of retention of urine for seven days.
I merely felt stupefied. Suddenly the boys who slept with me began to laugh, for from under my bed ran a stream of urine. In the night the full moon had shone upon my bed. We fellows had no vessel there but had to go outside, which with my frequent need for urination during the night was very unpleasant.
The animal acts dull, refuses to eat, rumination is stopped, and there is a constant effort to urinate, as indicated by the raising of the tail and rhythmical contractions of the urinary muscles just below the anus. Urine may dribble from the sheath or the flow may be completely suppressed. The odor of urine may be marked. Horses show symptoms of abdominal pain.
Wooden floors are open to the objection that they absorb the urine; but dogs should be taught not to foul their nest, and in any case a frequent disinfecting with a solution of Pearson's or Jeyes' fluid should obviate impurity, while fleas, which take refuge in the dust between the planks, may be dismissed or kept away with a sprinkling of paraffin.
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