URINE. 317 



Marasmus senilis. 



[Scherer 1 has published an analysis of the urine in a case of 

 marasmus senilis accompanied with gangrene. 

 It contained in 1000 parts : 



Water . . 927-45 



Solid constituents 72-55 



Urea 

 Uric acid 

 Alcohol-extract 

 Water-extract 

 Soluble salts 

 Earthy phosphates 



17-52 



1-70 



13-23 



15-00 



20-00 



4-67 



The amount of soluble salts and earthy phosphates is re- 

 markably large. 



A man aged 29 years, labouring under marasmus from 

 sexual abuses, was observed by Dr. Golding Bird to pass daily 

 thirty-six ounces of urine of specific gravity 1024. 



The water amounted to . . . 15227 grains. 



The solids .... 901 



Urea .... 369-6 



Uric acid . . . 36-0 ] 



Carcinoma. 



The urine in scirrhus ventriculi is, as Berzelius has re- 

 marked, sometimes turbid, has a milky look when it is dis- 

 charged, and deposits a white sediment of mucus and phosphate 

 of lime ; Fromherz and Gugert also found mucus and earthy 

 phosphates in the urine of a person who was liable to frequent 

 vomiting in consequence of scirrhus of the pylorus ; the urine 

 was alkaline from the presence of carbonates of soda and am- 

 monia, and contained no uric acid, but much urea. 



In opposition to these statements I found the urine secreted 

 in small quantity, deeply coloured, without a sediment, and 

 with a very acid reaction, in an advanced case of scirrhus ven- 

 triculi, occurring in a man in Schonlem's clinical ward, who 

 vomited matter like coffee-grounds. 



1 Untersuchungen &c. p. 75. 



