486 Philippine Journal of Science 1919 
CASE 23 (GROUP III) 
E. G. (44226), 26 years old, married, male, Filipino, laborer; born and 
living in Quingua, Bulacan; admitted to the hospital June 19, 1916, com- 
plaining of frequent and bloody urination of about one year’s standing. 
He had fever of short duration during childhood and frequent attacks 
of malaria at the age of 15 years. He is well developed and nourished. 
No history of beriberi. 
Clinical diagnosis——Cystolithiasis, trichuriasis, and ankylostomiasis. 
Urine examination.—Reaction, acid; sugar, negative; albumin, abundant; 
microscopic, very abundant pus. 
Cystolithotomy was performed June 20, 1916. The patient was dis- 
charged fourteen days after the operation. 
Calculus analysis (one yellow stone). 
Grams. 
Whole calculus 97.0 
Portion analyzed 43.6 
Cortex, or first layer, analyzed solve 
Second, third, fourth, and fifth layers (inseparable) 5.3 
Sixth layer, analyzed 0.9 
Seventh layer, or nucleus ; 0.2 
Weight by proportion. 
Grams. 
Whole cortex 82.8 
Whole second, third, fourth, and fifth layers 11.8 
Whole sixth layer ; 2.00 
Whole seventh layer, or nucleus 0.4 ° 
Composition of layers. 
Constituent. 
Layer. 
Chief. Minor. 
Cortex of first layer (brown- | Uric acid .__..........---------- Calcium oxalate. 
ish). 
Second layer (reddish) -._.____|_____ a eat aa ah casio eee re Pee rea Do. 
Third layer (dark red) -.--..._. 
Fourth layer (whitish) -.-..... scam oo tt ROE SNS aes se Uric acid. 
Fifth layer (dark red) --...__.. 
Sixth layer (brownish) --...... REPO WOU ac oe Sa cousscckesce Calcium oxalate. 
Nucleus (dark red) .-  gterenenatnate Some calcium oxalate. 
CASE 31 (GROUP IV) 
B. D. (47613), 4 years old, Filipino boy; born and living in Tondo, 
Manila; admitted to the hospital December 27, 1916, complaining of dif- 
ficult and painful urination of about one month’s standing. History of 
past illness and of beriberi unreliable. Nutritional condition undetermined. 
Clinical diagnosis —Cystolithiasis and acute abscess of abdominal wall. 
Urine examination.—Reaction, alkaline; sugar, negative; albumin, an 
appreciable trace. Microscopic, numerous erythrocytes and a few degen- 
erated epithelial cells, 
Cystolithotomy was performed December 29, 1916, and the patient was 
discharged February 11, 1917. 
