URINE. 225 



vomiting and fever. The urine retained the inflammatory type 

 until the condition of the patient improved. In a case of very 

 acute gastritis with green watery vomiting, I found the urine 

 scanty, of an extremely dark-red colour, acid, and forming a dull 

 yellow sediment of urate of ammonia and uric acid : in fact, 

 exhibiting all the characteristics of the urine of inflammation. 



Enteritis and Dysentery. 



In a severe case of enteritis, with obstinate constipation, 

 violent pain on pressure, green acid vomitings, and wiry pulse, 

 only a small quantity of urine was excreted. It was of a fiery- 

 red colour, acid, and, after some time, threw down a copious 

 reddish sediment of uric acid and urate of ammonia. 



Becquerel has observed the urine in enteritis and dysentery : 

 when the diarrhoea is only trifling, and unaccompanied by fever, 

 there is hardly any deviation in the urine from the normal state. 

 If, however, severe diarrhoea and fever are present, the urine 

 may assume the inflammatory type. In a case of simple en- 

 teritis with diarrhoea the urine was at first very turbid, of specific 

 gravity 1023*1, and deposited a sediment of uric acid: it was 

 afterwards normal, and finally became ansemic, the specific gra- 

 vity falling to 1010*0. In another case it was invariably 

 high-coloured and very concentrated, its specific gravity being 

 1024*3 ; in this instance there was a daily sediment. 



In eight cases of mild enteritis and diarrhoea, Becquerel only 

 on one occasion detected a small quantity of albumen. 



In two cases of a more chronic form of diarrhoea in persons 

 who had long suffered from disease and from insufficient food, the 

 urine was very light-coloured, and of low specific gravity, 101 1*7. 



According to Schonlein, in purely inflammatory diarrhoea, 

 the urine is of a fiery-red colour, causes scalding in the urethra, 

 and forms, at the crisis, a crystalline sediment of uric acid. 



In catarrhal diarrhoea, the urine is rather dark, and becomes 

 more so in the evening : at the crisis, a mucous sediment is 

 deposited. 



In bilious dysentery the urine is of a dark-red colour, tending to 

 a brown; during the crisis it yields a fawn-coloured precipitate. 



Finally, in typhous dysentery, the urine is dark, turbid, and 

 fetid. During the crisis it forms no precipitate, but becomes 

 clear and loses its srnell. 



ii. 15 



