Gout, and Its Relations to Diseases of the Liver and Kidneys (Paperback)

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• Format: Paperback   Learn more about the Paperback format using Tower WIKI.
• Publisher: General Books
• Number of Pages: 88
• ISBN: 1458828441
• WAPI (Tower ID): 114021658
• Release Date: August 1, 2009
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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER III. THEORIES AS TO THE NATURE OF GOUT. Excessive Production Of Uric Acid In Gout Circumstances Influencing The Excess Formation Of Urea And Uric Acid By The Liver Functions Of The Liver Tempera- Ture OF THE LIVER LlTHMIA DUE TO HEPATIC DERANGE- MENTS Symptoms Of The Uric Acid Diathesis Frequent Occurrence Of Temporary Albuminuria In Gouty Dyspepsia Eczema As A Symptom Of The Gouty Diathesis Neurotic Theories Of Gout Views Held By Dr. Dyce Duckworth, Dr. Meldon, Dr. E. Liveing, Sir J. Paget, Dr. Ord, And Dr. Latham The Author's Views. TOWARDS the close of the preceding chapter I endeavoured to show that defective diminution of uric acid is not sufficient to account for its undue accumulation in the blood in cases of gout. I now proceed to discuss another theory, viz., that of excessive production of uric acid in the system, a condition which is liable to occur under the following circumstances: In the first place, albuminous constituents may be supplied in excess, and the surplus fails to become properly oxidized. In the second, the oxidizing processes are imperfectly performed; though the supply of those constituents may be no more than is fairly proportioned to the normal wants of the organism. There is also a third class, in which not only are the oxidizing processes far below the normal standard, but the supply is manifestly in excess of the requirements. Under all these conditions the blood is liable to become surcharged with imperfectly oxidized constituents, of which uric acid is, for our present purposes, the most important. In the healthy organism by far the larger part of the nitrogenous excreta appears as urea, which is more highly oxidized than uric acid. Whether the entire amount of urea which is eliminated from the system results from the oxi...

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