THE EARTHY AND ALKALINE PHOSPHATES. 
453 
Table III. (Continued.) 
Earthy phosphates. 
Specific gra- 
vity. 
Alkaline phos- 
phates. 
Total. 
Case 6. 4th day. Slight paralysis of fifth nerve 
•76 
1012-6 
•46 
1-22 
Case 7- 4th day. Recent hemiplegia 
14th day. Recovered. 
•75 
1010-2 
1-14 
1-89 
Case 8. 3rd day. Recent hemiplegia 
1-84 
1027-0 
4-50 
6-34 
Case 9. Diabetes, effusion in brain. Sugar in 
effused fluid 
} 1-70 
1033-9 
1-58 
3-28 
In the acute inflammation of Case 1 and 2 no increase of phosphates is observed. 
The marked chronic attack in Case 5 shows, if anything, a deficiency. Slight cases 
of paralysis show no increase. 
Table IV. — On the Total Amount of Earthy and Alkaline Phosphates in cases of 
Fractures of the Bones of the Skull. 
Earthy phosphates. 
Specific gra- 
vity. 
Alkaline phos- 
phates. 
Total. 
Case 1. Fracture of the base of the skull. 
3rd day 
2*09 per 1000 urine 
1030-0 
7-20 
9-29 
5th dav 
1-74 
1021-3 
2-60 
4-34 
8th day 
1-66 
1019*6 
5-00 
6-66 
14th day 
•60 
1020-0 
1-51 
2-11 
18th day. Rigor, pain in the head 
1-34 
1021-2 
8-63 
9-97 
21st dav. Acute pain in side 
•61 
1019-1 
2-69 
3-30 
23rd day. Excessive pleurisy 
•75 
1016-9 
3-19 
3-94 
26th day 
•15 
1022-2 
1-05 
1-20 
31st day 
•73 
1024-8 
6-26 
6-99 
50th day. Acute pericarditis 
•73 
1027-3 
3-74 
4-47 
118th day. Recovered 
•38 
1018-3 
3-31 
3-69 
Case 2. Fracture of the base of the skull. 
4th day 
•13 
1026-3 
9-40 
9-53 
5th day 
•27 
1026-5 
10-43 
10-70 
6th dav. 32 5 passed 
•30 
1022-8 
7-61 
7-91 
7th day 
•15 
1024-7 
4-67 
4-82 
9th day. Erysipelas 
•12 
1017-6 
4-12 
4-24 
15th day 
•57 
1018-5 
3-43 
4-00 
32nd day. Went out well. 
Case 3. Fracture of frontal bone. 
2nd day 
•36 
1026-4 
4-81 
5-17 1 
7th day 
•72 
1019-3 
3-12 
3-84 | 
Case 4. Fracture of the base of the skull. 
2nd day 
•52 
1028-6 
3-50 
4-02 
4th day 
1-24 
1029-8 
5-89 
7-13 
7th day 
•71 
1017-5 
4-11 
4-82 
In ( Jase 1, on the 3rd and 18th day, when the head symptoms were most marked, 
the phosphates were above the average. In the same case, when other acute inflam- 
mations supervened, as on the 23rd and 50th day, no increase was observed. In Case 
2 also, on the 4th, 5th and 6th days, when the head symptoms were urgent, the total 
amount of phosphates was considerably above the average ; on the 9th day, when 
erysipelas came on, no increase was seen. In this case the earthy phosphates are 
worthy of note. Cases 3 and 4 were severe fractures, but without acute symptoms. 
