Excerpt from Pyuria, or Pus in the Urine, and Its Treatment: Comprising the Diagnosis and Treatment of Acute and Chronic Urethritis, Prostatis, Cystitis, and Pyelitis, With Especial Reference to Their Local Treatment
Pus. - Pus consists of cellular elements, the pus corpuscles, which are suspended in a fluid, pus-serum. Urine containing pus must admit of the detection of both these constituents, the pus-corpuscles as well as the serum. The pus-corpuscles are determined usually by the microscope the pus-serum, on the contrary, by chemical means, on account of the presence of albumen. Since pus consists of cellular elements, it necessarily fol lows that urine containing pus will appear more or less turbid, and turbid just in proportion to the amount of pus. A urine which has just been passed, and which appears clear and transparent, can never contain pus. The color of a pus-urine corresponds to the amount of coloring matter in the urine at the time, sometimes a lighter, again a darker wine-yellow; pus itself has a greenish-yellow color; this is, however, only imparted to the urine when it is present in large amount. The natural color of the pus is evident when it has sepa rated from the urine as a compact sediment. Pus has an alkaline reaction, but the quantity of alkali is usu ally not enough to exert any considerable influence on the reaction of the urine. The acid reaction of the urine can only be neutralized or overcome by the alkali of the pus-serum when pus is present in a very great amount.
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