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Uric acid in blood and urine in lobar pneumonia
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instance, social ostracism and justified lhar of uric acid in health and in cases of lol)ar pneulosing their jobs compel many tuberculous indl- monia, and their conehtsiorts are as follows:--viduals to conceal their complaint and to carry (I) Uric; acid iu the blood in health varies on at work until their lesm~x is advmaced. ,. hus between ,~,(i and 3'3 lagm. per cent. over-emphasis in the past on the inib,etiousness (9.) Uric ackl in the blood in lobar lnleumonia of tubereulosls seems to have defeated its object. varies between i.o and 6, 5 mgm. per cent As they undergo treatment tuberculous belbrc the crisis, except just bctbre the crisis patients are confi'onted by psychological situ- occurs, when it v;u'ics between I .,2 and 3.8 mgm. ations fraught with diMcultics. Their new 'tubercular' situation is very different if'ore their par ('mlt. • ,, " " , . . . . . . . . (3) l)eereases in m'ic acid in the bh)od during previous. . . .healthy sl~uauon. ,2~ntagomsm ~)e-o the '.flhless ' '.Is not" rchttt,d , to chmcal . . . )venlellt. ... ltnDrc tween ~)otn situations engencters a sense ot . _ ~ . . ., . . ." . . . r,,,,,.,,.,l ..... A ~,].i.i, ¢J~ 1~,,,-I ,.. . . . . ,.: ....... lh. . . . . . ,4 e (4) lncre.ase m m'w a e l d i l l tim I ) l o o f l d u r i n g foolhardy behaviour. The uncertainty o( their t i m . iI ~ t c,s s u s u , f l t Y l n c l t c ,•t t ( s . .I l l ,.i t . tll~ 1) , t t l ( n.t is. situation evokes anxiety which, in turn, pre- worse. disposes to suggestibility, Because of the small (5) During cortvalcscence uric acid tends toscope of their life-situation they tend ito lie wards n.ornml, selfish and hypochondriaeal; mad ])ccausc thei~:~ (6) Tim uric acid t;xcrcted in twenty-fimr Iloltrs doctors and nurses assume botl l gratil'ying and iix tlu: ttrinc, in health varies Iw,tweeli o.45 and frustrating lhnctions the attitude of tlu: lmticnts 0.75 grtu. towards them is often dottbh:-edged. (7) In lobar pnettm(mht, the amotult of uric Succc,ssiul sltuatorium management can ease, acid excreted 1)ri(w to Aim crisis is us/t:dly inconsiderably the emotional situatloa o[" ttd)t',r- r"~rcas¢;d (somethm:s to as much as llntr times the culous patients. I,'or instance, the contrast nornml wdttc). between the 'healthy' and tim 'tubercular' (8) Afte.r the crisis the. anumnt of uric acid situation can be reduced by tllerapeufic oc.cu-' exeret(:d in the urine suddenly decreases. pation at the sanatorium. 'l?he conccl:)tion o f (9) The blood uric aekl and the amount occupational thei'apy as divcrsional i,~ imtd¢.-" excreted in the ni'ili¢, are di:rcctly prolmrdollal quate psychologically, To allay tim fears of as long as kkhu:y fimcthm re.mains unimlm.ir~,d, tuberculous patients knowledge aJ)olJ.t tu])ercu( I o ) 'l'hls incrcascd urh', ac'kt c'.oticeltlratiolt h,t losis should be impart¢.d I)y all intensive the bhmd hx lobar lmmmmnla aplmars to be, due educational programme. Within the sanatorium to the destruction of leucocytes h~ tim hmgs, the scope of tim patients' sittmtion may be increased by including tht:m as actiw: agents in treatment procedures. (3) Virtually, no research is awdlable as regards the effect of the social psychological P U L M O N A R Y T U B E R C U L O S I S . R. Y. Keers, M.D., F.R.F.P,S., and B. O. Rigden, situation of ex-patients. Overwork, family M.R.C,S., L.R.C.P. Pp. xvi + 277. Ill, I~ 4. problems and financial difl]culties seem to be the Second edition. E. & S. Livingstone, Ltd. commonest causes of relapses. Under favourable Price 17s. 6d, post-sanatorium conditions, e.g. at Papworth, the expectation of life is considerably prolonged. Practitioners and students will welcome the Many ex-patients are unable to resume their second edition of Keers' and Rigden's excellent previous occupations and many employers are handbook on Pulmonary Tuberculosis. As Dr reluctant t o employ even arrested cases. In Young so aptly remarks in the foreword, the addition, ex-patients are subjected to ostracism emphasis of the book is very rightly laid upon by the family, friends and acquaintances in the treatment of the tuberculous patient as varying degrees. Systematic vocational training opposed to the tuberculous lung. The whole and temporary sheltered employment, combined problem of pulmonary tuberculosis is covered with education of the general public, would through its phases of aetiology, diagnosis and appear to solve most of the general psychological treatment and special praise should be given to problems facing ex-patients. E.W. the chapters on symptomatology, prognosis and the general principles of treatment. It is in these chapters particularly that the authors have shown their full understanding of their subject, U R I C ACID IN B L O O D AND U R I N E IN Finally, the book contains a comprehensive LOBAR P N E U M O N I A . R. S. Berkman, series of x-ray reproductions showing pulmonary E. R, Kratinova and R. G. Idlina (Kharkov) tuberculosis in all its forms--the possible in M e d i c a l Practice. No. 9/I946. differential diagnosis and the preselxt day The autho'cs have estimated the blood and urine methods of treatment. •
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'r u n v. r~ a ~, I~
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I94,7
instance, social ostracism and justified lhar of uric acid in health and in cases of lol)ar pneulosing their jobs compel many tuberculous indl- monia, and their conehtsiorts are as follows:--viduals to conceal their complaint and to carry (I) Uric; acid iu the blood in health varies on at work until their lesm~x is advmaced. ,. hus between ,~,(i and 3'3 lagm. per cent. over-emphasis in the past on the inib,etiousness (9.) Uric ackl in the blood in lobar lnleumonia of tubereulosls seems to have defeated its object. varies between i.o and 6, 5 mgm. per cent As they undergo treatment tuberculous belbrc the crisis, except just bctbre the crisis patients are confi'onted by psychological situ- occurs, when it v;u'ics between I .,2 and 3.8 mgm. ations fraught with diMcultics. Their new 'tubercular' situation is very different if'ore their par ('mlt. • ,, " " , . . . . . . . . (3) l)eereases in m'ic acid in the bh)od during previous. . . .healthy sl~uauon. ,2~ntagomsm ~)e-o the '.flhless ' '.Is not" rchttt,d , to chmcal . . . )venlellt. ... ltnDrc tween ~)otn situations engencters a sense ot . _ ~ . . ., . . ." . . . r,,,,,.,,.,l ..... A ~,].i.i, ¢J~ 1~,,,-I ,.. . . . . ,.: ....... lh. . . . . . ,4 e (4) lncre.ase m m'w a e l d i l l tim I ) l o o f l d u r i n g foolhardy behaviour. The uncertainty o( their t i m . iI ~ t c,s s u s u , f l t Y l n c l t c ,•t t ( s . .I l l ,.i t . tll~ 1) , t t l ( n.t is. situation evokes anxiety which, in turn, pre- worse. disposes to suggestibility, Because of the small (5) During cortvalcscence uric acid tends toscope of their life-situation they tend ito lie wards n.ornml, selfish and hypochondriaeal; mad ])ccausc thei~:~ (6) Tim uric acid t;xcrcted in twenty-fimr Iloltrs doctors and nurses assume botl l gratil'ying and iix tlu: ttrinc, in health varies Iw,tweeli o.45 and frustrating lhnctions the attitude of tlu: lmticnts 0.75 grtu. towards them is often dottbh:-edged. (7) In lobar pnettm(mht, the amotult of uric Succc,ssiul sltuatorium management can ease, acid excreted 1)ri(w to Aim crisis is us/t:dly inconsiderably the emotional situatloa o[" ttd)t',r- r"~rcas¢;d (somethm:s to as much as llntr times the culous patients. I,'or instance, the contrast nornml wdttc). between the 'healthy' and tim 'tubercular' (8) Afte.r the crisis the. anumnt of uric acid situation can be reduced by tllerapeufic oc.cu-' exeret(:d in the urine suddenly decreases. pation at the sanatorium. 'l?he conccl:)tion o f (9) The blood uric aekl and the amount occupational thei'apy as divcrsional i,~ imtd¢.-" excreted in the ni'ili¢, are di:rcctly prolmrdollal quate psychologically, To allay tim fears of as long as kkhu:y fimcthm re.mains unimlm.ir~,d, tuberculous patients knowledge aJ)olJ.t tu])ercu( I o ) 'l'hls incrcascd urh', ac'kt c'.oticeltlratiolt h,t losis should be impart¢.d I)y all intensive the bhmd hx lobar lmmmmnla aplmars to be, due educational programme. Within the sanatorium to the destruction of leucocytes h~ tim hmgs, the scope of tim patients' sittmtion may be increased by including tht:m as actiw: agents in treatment procedures. (3) Virtually, no research is awdlable as regards the effect of the social psychological P U L M O N A R Y T U B E R C U L O S I S . R. Y. Keers, M.D., F.R.F.P,S., and B. O. Rigden, situation of ex-patients. Overwork, family M.R.C,S., L.R.C.P. Pp. xvi + 277. Ill, I~ 4. problems and financial difl]culties seem to be the Second edition. E. & S. Livingstone, Ltd. commonest causes of relapses. Under favourable Price 17s. 6d, post-sanatorium conditions, e.g. at Papworth, the expectation of life is considerably prolonged. Practitioners and students will welcome the Many ex-patients are unable to resume their second edition of Keers' and Rigden's excellent previous occupations and many employers are handbook on Pulmonary Tuberculosis. As Dr reluctant t o employ even arrested cases. In Young so aptly remarks in the foreword, the addition, ex-patients are subjected to ostracism emphasis of the book is very rightly laid upon by the family, friends and acquaintances in the treatment of the tuberculous patient as varying degrees. Systematic vocational training opposed to the tuberculous lung. The whole and temporary sheltered employment, combined problem of pulmonary tuberculosis is covered with education of the general public, would through its phases of aetiology, diagnosis and appear to solve most of the general psychological treatment and special praise should be given to problems facing ex-patients. E.W. the chapters on symptomatology, prognosis and the general principles of treatment. It is in these chapters particularly that the authors have shown their full understanding of their subject, U R I C ACID IN B L O O D AND U R I N E IN Finally, the book contains a comprehensive LOBAR P N E U M O N I A . R. S. Berkman, series of x-ray reproductions showing pulmonary E. R, Kratinova and R. G. Idlina (Kharkov) tuberculosis in all its forms--the possible in M e d i c a l Practice. No. 9/I946. differential diagnosis and the preselxt day The autho'cs have estimated the blood and urine methods of treatment. •
l,Ll..Li31,tl~tLJ.~.,)J.k
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d~LI I ~ , . L
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t,.,.i
rll
t~l,klIlkJ.',.llLttJtl~y
I~ldl LI~.L
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.
.
.
.
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