187 



APPENDIX. 



URINE ANALYSIS IN CASES FED BY 

 NUTRIENT ENEMATA. 



I AM given kind permission to set forth the following 

 unpublished observations by Dr. R. E. Thomas on 

 patients under Dr. Nixon in the Bristol Royal Infirmary. 



CASE I. L. W., a girl aged 22, was admitted for 

 haematemesis on Nov. 9, 1909, and was treated with 

 nutrient enemata consisting of 4 oz. of milk with one 

 egg peptonized for twenty minutes, given every four 

 hours. One to two pints of saline were also given 

 daily by the rectum, and the bowel was washed out 

 every morning. Nothing was given by mouth, except 

 a little ice, until Nov. 22. 



The urea was estimated by the hypobromite method, 

 the ammonia nitrogen by the formalin method, and 

 diacetic acid and acetone by the tests described in 

 Chapter VII. (See Table, pp. 188, 189). 



CASE II. M. H., a girl aged 20, was admitted for 

 haematemesis on June i, 1909. The treatment was 

 exactly as in Case I., but no analyses of the urine were 

 made until June 19, on which day mouth feeding began 

 as well as the nutrients, which latter went on till July 7. 

 (See Table, p. 190). 



