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April 19, 1958

Urine and the Urinary Sediment: A Practical Manual and Atlas

JAMA. 1958;166(16):2097. doi:10.1001/jama.1958.02990160155032

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This neatly printed volume is divided into three chapters. The first chapter discusses such more common urinary findings as proteinuria, casts, erythrocytes, leukocytes, epithelial cells, bacteria, and parasites. Proteinuria usually indicates a renal lesion, but benign proteinuria ( orthostatic, postural, or that associated with drugs or fever) may not cause permanent renal damage. Bacterial infections may produce 2-5 Gm. of protein in 24 hours, while degenerative tubular lesions allow the excretion of 7 Gm. or more in 24 hours. Chapter 2 reviews the urine and sediment findings in local and generalized diseases. It is emphasized that the urinary findings should not be separated from the clinical information. Proteinuria and urine sediment reflect a pathological process, such as inflammation, degeneration, or an anomaly. Chapter 3 reviews the more common laboratory urine examinations. The method of collecting and the immediate examination of clear urine specimens is adequately covered. A review of the Addis

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