326 



ALLAN WINTER ROWE 



renal permeability associated with pathological change. In hypogonadism, 

 the suggestion is rather one of faulty hygiene — which is frequently the fact. 

 In the main, the pituitary is normal, but significantly augmented volumes 

 are frequently recorded. Both the thyroid and ovary cases show an appar- 

 ently poor level of protein metabolism which in the former includes poor 

 absorption and elimination as causal factors while in the latter, dietary 

 restriction seems to be the more frequent agent. High residual nitrogen 



TABLE 2 

 Physical measurement 



TABLE 3 



The urine 



PITUITARY 



Normal or in- 

 creased 

 Absent 

 Absent 

 Absent* 

 Normal 

 Normal 



Decreased 



Present 

 Present 

 Rarely present 

 Decreased 

 Increased 



Normal or de- 

 creased 

 Absent 

 Absent 

 Present 

 Decreased 

 Normal 



Volume 



Albumin . 



Casts 



Sugar 



Total nitrogen 



Residual nitrogen 



* Present in dysfunction 



is a general evidence of disturbed metabolism; it is more characteristic 

 of the thyroid group in frequency and amount. 



The blood findings are given in table 4. 



The pituitary shows a selective increase above normal in the uric acid, 

 the thyroid like high values for the other two nitrogenous constituents, 

 but with normal uric acid. This fact is one of the several indices that the 

 renal factor in thyroid failure is a "pseudo" and not a true nephritis. In 



