URINE. 287 



which the term anaemic has been applied when considerable 

 haemoptysis has occurred in the second or third stage. After 

 haemoptysis the urine is generally turbid, and for the first day 

 or two throws down slight sediments of urate of ammonia; it 

 afterwards becomes pale and clear, arid continues acid, gradually 

 returning to its normal state. When the febrile symptoms be- 

 come continuous and the colliquative stage has fairly commenced, 

 I have found the urine approximate in its composition to the 

 urine of inflammation. 



Becquerel has examined the urine in a great number of 

 phthisical cases. When the disease is progressing beyond the 

 first stage, the urine is often of higher specific gravity, darker, 

 and secreted in less quantity than usual, a symptom that the 

 tubercles are extending, and that a state of continuous fever is 

 supervening. The subsequent phenomena of the morning 

 sweats and colliquative diarrhoea further contribute to the con- 

 centration of the urine. When, however, a state of decided 

 asthenia has been brought on by these extraordinary drains 

 upon the system, it rapidly assumes opposite properties, and 

 becomes anaemic. Thus the urine of a woman, in whom 

 the tubercles were beginning to soften, and who had at the 

 same time certain symptoms of disease of the heart, was found 

 by Becquerel to amount to 20 ounces in twenty-four hours. 

 It was of a deep yellow colour, threw down a sediment of uric 

 acid, had a specific gravity of 1022'2, and 1000 parts contained 

 36-5 of solid residue. 



In a woman in the third stage of phthisis with great pros- 

 tration of strength, the urine, three days before her death, was 

 of a deep colour, acid, and threw down a spontaneous sediment. 

 The specific gravity was 1014-7, and 16-2 ounces were discharged 

 in twenty-four hours. 1000 parts contained : 



Water . . . 975-95 



Solid constituents . . 24-05 



Urea . . . 9-00 



Uric acid . . . 1-25 



In another precisely similar case the urine, three days before 

 death, was of a deep colour, acid, and threw down a sediment 

 spontaneously. The specific gravity was 1014' 7, and there were 

 only 7*2 ounces passed in twenty-four hours. 



