228 THE SECRETIONS: 



[Herzog 1 has recorded the case of a woman aged 44 years, 

 in whom the principal symptoms were pain in the left lobe of 

 the liver, and vomiting. The urine was of a saffron colour, but 

 contained none of the ingredients of the bile. Its specific gra- 

 vity was 1035-7, and 1000 parts yielded 68'84 of solid residue, 

 55'15 of which were urea.] 



Peritonitis. 



I have had one opportunity of analysing the urine in peri- 

 tonitis puerperalis. It was passed by a woman aged 29 years, 

 was of an acid reaction, and somewhat turbid, but not particu- 

 larly dark : when examined with the microscope it was found 

 to contain mucus-corpuscles, membranous shreds and other 

 fragments, which could only be taken for epithelium composed 

 of many regularly-formed, large, and elongated cells. On the 

 application of heat the presence of a small quantity of albumen 

 was detected. The specific gravity was 1020*0. The urine was 

 composed of 



Analysis 104. 



Water .... 951-80 



Solid constituents 48-20 



Urea 

 Uric acid 



Extractive matters 

 Fixed salts 



20-10 

 0-83 



16-36 

 9-20 



By calculating the various constituents in relation to 100 

 parts of solid residue, we at once see that this urine is of a 

 decidedly inflammatory type. 

 We obtain : 



Urea .... 42-7 



Uric acid . . . .1-7 



Fixed salts . . . .19-1 



Extractive matters . . . 36-1 



The urea even exceeds the physiological average, the salts 

 are diminished, and the extractive matters increased. 



[Scherer 2 analysed the urine in three cases of febris puer- 

 peralis. The urine was usually of a fiery -red colour, sometimes 

 neutral, and often alkaline (or at least it rapidly became 

 so ;) it deposited a mixed sediment of pus, mucus, and urate of 

 ammonia. 



1 Buchner's Repert. 1844. 2 Untersuchungen, &c. p. 72. 



