274 



CIRCULATING FLUIDS : 



with a strong buffy coat, The serum is usually clear, and of a 

 deep yellow colour. 



I have made only one analysis of the blood in acute rheu- 

 matism accompanied with fever. I found that the quantity of 

 fibrin was considerable, that the quantity of fat was sensibly in- 

 creased, and of hsematoglobulin much diminished in relation to 

 the normal proportions. 



Andral and Gavarret have analysed the blood in 14 cases of 

 acute rheumatism. They found that if the blood was taken 

 during the period of acute pain and fever, the fibrin existed in 

 much larger proportion than in normal blood. 



On the other hand, they found that the quantity of fibrin was 

 even less than in normal blood, in the case of an individual who 

 was bled after the subsidence of the pain and of the fever. 



In those cases in which the pain and fever returned, after 

 an improvement had taken place, an increase of fibrin was again 

 observed. 



My analysis gave the following results : 



Analysis 25. 

 Water .... 801-500 



The blood was taken from a man aged 35 years, in whom the 

 joints of the foot and knee were much swollen and very painful : 

 the joints of the hand were less swollen, but very tender on 

 being touched. The febrile sj^mptoms were not severe. 



The following table exhibits the maxima, minima, and mean 

 of 43 analyses made by Andral and Gavarret upon the blood of 

 14 individuals suffering from acute rheumatism : 



100 parts of the solid residue of the serum gave, on an ave- 



I'age, 7"9 of inorganic constituents. 



