Front matter
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Chapter I. The Blood
PAGE
General considerations 17 color 17
odor 18 determination according to Hammerschlag 18
determination according to Schmaltz and Peiper 19
indirect estimation of the hemoglobin 19
reaction . 20
estimation of the alkalinity according to Lowy 21
estimation of the alkalinity according to Engel 21
estimation of the alkalinity according to Dare 22
Chemical examination of the blood 25
general chemistry of the blood 25
coagulation of the blood 27
blood pigments . 29
hemoglobin and oxyhemoglobin 29
hemoglobinemia 33
carbon monoxide hemoglobin 34
nitric oxide hemoglobin 35
hydrogen sulphide hemoglobin 35
carbon dioxide hemoglobin 35
hematin 35
hemin 36
methemoglobin 37
hematoidin 38
hematoporphyrin 38
the proteids of the blood 39
the carbohydrates 40
sugar . 40
estimation of the sugar in the blood 41
Williamson's diabetic blood test . . 42
glycogen 42
cellulose 42
urea 42
uremia . 43
ammonia 43
uric acid and xanthin bases 43
fat and fatty acids 45 biliary constituents 49 cholin 50 the red corpuscles 51
variations in the size of the red corpuscles 51
variations in the form of the red corpuscles ....... 52 viii CONTENTS
Microscopic examination of the blood — Continued. page
variations in the color of the red corpuscles and color index . . 53
variations in the number of the red corpuscles 54
behavior toward aniline dyes (polychromatophilia) .... 60
granular degeneration ' 61
Cabot's ring bodies 64
Ehrlich's hemoglobinemic Innenkorper 65
nucleated red corpuscles 65
normoblasts 65
megaloblasts 67
the leukocytes 69
general differentiation of the various forms of leukocytes ... 69 differentiation of the leukocytes according to their behavior toward
aniline dyes . 70
the small mononuclear leukocytes 70
the large mononuclear leukocytes 73
the polynuclear neutrophilic leukocytes 74
the polynuclear eosinophilic leukocytes . 77
the mast-cells 78
the myelocytes 80
Tiirck's irritation forms (phlogocytes) 82
iodophilia 83
leukocytosis 84
polynuclear neutrophilic hyperleukocytosis 85
polynuclear neutrophilic hypoleukocytosis ....... 97
neutrophilic karyomorphism 101
polynuclear eosinophilic hyperleukocytosis 102
polynuclear eosinophilic hypoleukocytosis 108
lymphocytosis 109
lymphopenia 112
variations in number of the large mononuclear leukocytes . . . 112
variations in number of the mast-cells 113
myelocytosis 114
the plaques 118
the dust particles of Muller 120
General technique 120
slides and cover-glasses 120
the blood mount ........ 121
fixation 123
The aniline dyes and principles of staining . . . . 125
Methods of staining 129
the eosinate of methylene blue . . . . .129
Ehrlich's triacid stain 130
the Romanowsky methods . . ... . . . 132
method of Hastings 132
method of Leishman 134
method of Wright 135
method of Giemsa 136
method of Goldhorn 137
Demonstration of iodophilia 137 method of Simon ' 137
enumeration of the leukocytes 138
enumeration of the red cells .140
differential leukocyte counting .143
enumeration of the plaques 144
The hematokrit 144
volume index 147
Dare's hemoglobinometer . 148
FleischPs hemoglobinometer . 150
Gowers' hemoglobinometer (Sahli's modification) . . . . . . 152
Talquist's method 152
CONTENTS ix
TAGE
Estimation of blood iron 153
Kryoscopic examination of the blood 154
Osmotic resistance of the red cells 157 typhoid fever 159
agglutination test 160
paratyphoid fever 165
pneumonia 166
pyogenic bacteriemia 168
go nococcus septicemia 171
anthrax ... 172
acute miliary tuberculosis 173
glanders 174
Malta fever 174
bubonic plague . 175
malaria 177
trypanosomiasis 187
relapsing fever 189
typhus fever 190
Kala-azar . 190
syphilis 191
spotted fever . . 191
filariasis . f . . 191
distomiasis (bilharziasis) 195
anguilluliasis 196
Chapter II. The Secretions Of The Mouth
Saliva 198 chemistry of the saliva 198
microscopic examination of the saliva 199
pathological alterations 201
Special diseases of the mouth 202
tuberculosis of the mouth 202
actinomycosis 202
catarrhal stomatitis 202
ulcerative stomatitis 202
gonorrheal stomatitis 202
thrush 202
Tartar 203
Coating of the tongue 203 pharvngomvcosis leptothrica . 203
tonsillitis 204
Vincent's angina 204
diphtheria 205
scarlatina 208
glandular fever 208
Chapter III. The Gastric Juice And The Gastric Contents
The secretion of gastric juice 209
Test meals 210
the test breakfast of Ewald and Boas 210 x CONTENTS
Tests meals — Continued. page
the test breakfast of Boas 210
the test dinner of Riegel 210
the double test meal of Salzer 210
The stomach tube . ' 211
contra-indications to the use of the tube . 211
introduction of the tube 211
General characteristics of the gastric juice 213 the acidity of the gastric juice 214
determination of the acidity of the gastric juice 215
the amount of free hydrochloric acid 217
euchlorhydria 218
hypochlorhydria 218
anachlorhydria 218
hyperchlorhydria 218
test for free acids 219
test for free hydrochloric acid . . 219
the dimethyl-amino-azo-benzol test 219
the phloroglucin-vanillin test 220
the resorcin test 221
the tropeolin test " 221
the combined hydrochloric acid 222
quantitative estimation of the hydrochloric acid ....... 222
Topfer's method . ". ", 222
deficit of hydrochloric acid 223
Sahli's method 223
Martius and Liittke's method 224
Leo's method . 226
the ferments of the gastric juice and their zymogens 227
pepsin and pepsinogen 227
tests for pepsin and pepsinogen . . . . . . . . . 229 chymosin and chymosinogen 230
tests for chymosin and chymosinogen 231 analysis of the products of albuminous digestion . . . . . . 232
tests for the products of carbohydrate digestion . 233 mode of formation and clinical significance 233
tests for lactic acid 235
Kelling's test 235
Uffelmann's test . . . • 235
Strauss' test 236
Vournaso's test 236
Boas' test 237
quantitative estimation of lactic acid according to Boas' method 230
the fatty acids 240
mode of formation and clinical significance 241
tests for butyric acid 241
tests for acetic acid 242
quantitative estimation of the fatty acids 242
gases 244 vomited material 244
food material 246
mucus 246
gastrosuccorrhea mucosa 246
saliva 246
bile 246
pancreatic juice 247
blood 247
CONTENTS xi
Chemical examination of the gastric juice — Continued. page
test of Miiller and Weber 247
Donogany's method . . . . . 247
pus 248
stercoraceous material 248
parasites 249
odor . 249
Microscopic examination of the gastric contents 249
the Boas-Oppler bacillus 250
sarcinae 250
protozoa 251
shreds of mucous membrane 251
tumor particles 252
Examination of the motor power of the stomach 252
Leube's method 252
the salol test of Ewald and Sievers 253
Examination of the resorptive power of the stomach 253
Indirect examination of the gastric juice . . 254
Gimzburg's method 254
Chapter IV. The Feces
number of stools 256 consistence and form 257 color 258
aloin test 260
guajac test 261
macroscopic constituents 261
alimentary detritus 261
mucous cylinders 262
concretions 263
foreign bodies 265
microscopic constituents 265
constituents derived from food 266
morphological elements derived from the alimentary canal . . 270 blood corpuscles 271
crystals '271
mucus 273
Bacillus dvsenterise 276
Bacillus typhi 278
Bacillus acidophilus 280
Bacillus vulgaris 281
Bacillus pyocyaneus 282
Bacillus coli communis 282
Bacillus lactis aerogenes 283
Bacillus cholerse 283
Bacillus tuberculosis 285
Animal parasitology 286
protozoa 286
Entamoeba dvsenterise 286
Entamoeba coli 289
Paramceba hominis - 289
Cercomonas hominis 290
Trichomonas intestinalis 291
Megastoma entericum 292 xii CONTENTS
Animal parasitology — Continued. page
Balantidium coli 293
vermes 295
Taenia saginata 295
Taenia solium - 296
Taenia nana . . . . 297
Taenia diminuta 299
Taenia cucumerina 299
Taenia Africana 299
Taenia Madagascariensis 299
Bothriocephalic latus . . 300
Krabbea grandis 302
Distoma hepaticum " 302
Distoma lanceolatum . 302
Distoma Buskii 304
Distoma sibiricum 304
Distoma spatulatum 304
Distoma conjunctum 304
Distoma heterophyes 304
Amphistomum hominis 304
Ascaris lumbricoides 305
Ascaris mystax 307
Ascaris maritima 307
Oxyuris vermicularis 307
Uncinaria duodenalis ' . 307
Trichocephalus hominis 311
Trichina spiralis 311
Strongyloides intestinalis 312
Chemistry of the feces 316
reaction . . 316
chemical composition 317
phenol, indol, skatol 318
fatty acids 319 biliary acids . 320
pigments 320
purin bodies 322
mucin 322
albumin 323
albumoses 323
carbohydrates 323
ptomains 323
Meconium 323
Chapter V. The Nasal Secretion
Physiology and pathology of the nasal secretion 325
Chapter VI. The Sputum
General technique 326
General characteristics of the sputa 327 consistence 327
color 328
odor 328 configuration of sputa 329
CONTENTS
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PAGE
Macroscopic constituents of sputum 330
cheesy particles 330
elastic tissue 330
fibrinous casts 330
Curschmann's spirals : 332
echinococcus membranes 333
concretions . 333
foreign bodies 333 red blood corpuscles 335
epithelial cells 336
elastic tissue 337
Entamoeba dysenterise 339
Trichomonades . 339
Cercomonades 339
Taenia echinococcus 339
Distoma pulmonale 343
Distoma hematobium 343
vegetable parasites . 344
the tubercle bacillus 344
methods of staining 345
Weigert-Ehrlich's method 346
Ziehl-Neelsen's method 346
cultivation of tubercle bacillus 347
the Diplococcus pneumoniae 348
the bacillus of influenza . 349
the bacillus of whooping-cough . . . . . . . . 350
the smegma bacillus 351
the typhoid bacillus . . . 351
the plague bacillus : 351
Micrococcus catarrhalis 351
Micrococcus tetragenus 351
staphylococci and streptococci 351
streptothrices . . 351
actinomycosis 351
blastomycetes 353
moulds 353
Oidium albicans . 354
Sarcina pulmonalis 354
crystals '354
Charcot-Leyden crystals 354
hematoidin 356 fatty acid crystals 356
leucin and tyrosin 357
calcium oxalate 357
triple phosphates 357
the pneumoconioses 357
anthracosis 357
siderosis 358
chalicosis . 358
stycosis 358
Chemistry of the sputum 358
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