530 APPENDIX. 



The urinary secretion was much diminished. It was ex- 

 amined on several occasions, principally in reference to the 



The urine was of a pale yellow colour, acid, and of specific 

 gravity 1018. There was a slight deposit, consisting of colour- 

 less uric-acid crystals, much pavement epithelium, cylinders, 

 albuminous fungi, and a few mucus-corpuscles. The urine 

 contained a large quantity of albumen, very little urea, and 

 only traces of uric acid. The salts amounted to 7*4 in 1000 

 parts, and contained an excess of sulphates with a diminution 

 of chloride of sodium. 



On the following day the organic constituents were similar ; 

 the sediment, however, contained in addition some granular 

 cells (the inflammatory globules of Gluge). 



The urine was subsequently analysed some days afterwards. 

 It presented the same appearance as before, and the deposit 

 was similar. The reaction was acid, and the specific gravity 

 1017. 



In 1000 parts there were contained : 



Water .... 958*0 



Solid constituents . . . 42*0 



Fixed salts . . 9'4 



c. A middle-aged woman with considerable oedema. 



The urine was diminished in quantity, was of a dull yellow 

 colour, turbid, faintly acid, and of specific gravity 1017. It 

 deposited a sediment consisting of numerous epithelium scales 

 and cylinders, albuminous fungi, and a few uric-acid crystals. 

 The urine contained a large amount of albumen, which when 

 precipitated by nitric acid had a faintly violet tint, indicating 

 the presence of uroxanthin. The urea, uric acid, and salts 

 were much diminished ; the latter amounting to no more than 

 3 in 1000 parts of urine. Of the various constituents of the 

 saline residue the chloride of sodium was the most diminished. 



d. The urine of a patient with considerable oedema, was 

 analysed. It was of a faint yellow colour, turbid, acid, with a 

 specific gravity of 1006, and deposited a slight sediment of 

 pavement epithelium, cylinders, mucus -corpuscles, albuminous 

 fungi, and a few crystals of uric acid. 



