654 
DR. BENCE JONES ON CHYLOUS URINE. 
Fourth day. Water passed at 
6 A.M. Clear, six ounces, strongly acid ; the slightest trace of albumen with 
heat and acid. 
7** 15'“ A.M. Clear; half an ounce, very strongly acid. Passed immediately on 
getting out of bed for the day; the slightest trace of albumen with heat and 
acid. This and a little of the urine passed at six, had specific gravity 1027, 
513*5 grs. precipitate with alcohol =0*40 gr. =0*8 gr. per 1000 grs. of urine. 
9*' 50'“ A.M. Slightly opalescent, solid, yellow, coagulum ; three ounces, alkaline. 
Passed just before breakfast. Pint of boiled milk with sago and bread, with 
but little butter or sugar. When filtered a bloody coagulum remained on the 
filter. The clear liquid left at rest deposited a layer of blood-globules. Spe- 
cific gravity =1015*6, gave a nearly solid coagulum with heat and acid. 
507‘8 grs. precipitated by alcohol =7*20 grs. =14*1 grs. per 1000 grs. of 
urine. 
1 ! A.M. Chylous with clots and pink coagulum; six ounces, alkaline, filtered; 
bloody coagulum was left on the filter. Milky fluid on standing deposited a 
layer of blood-globules. Specific gravity =1013*4, 506*7 gi's. precipitated by 
alcohol =7'35 grs. = 14*5 grs. per 1000 grs. of urine. 
ih 35 mpjyj Very milky; eight ounces, with little blood; neutral. Passed just 
before dinner; mutton chop with broccoli and bread. 
3 U 4omp.M. Very milky; eight ounces, very little blood; neutral. 
5 h 4 Qm p Very milky ; one and a half ounce ; blood doubtful ; feebly acid ; 
passed just before tea; three quarters of a pint of coffee, half a pint of milk 
with bread, but little butter or sugar. 
7 I 1 4 om p jyj Very milky ; four and a half ounces ; little blood ; neutral. 
10 p.m. Very milky; five ounces ; little blood ; very feebly acid. 
Fifth day. Water passed at 
6 a.m. Slightly milky ; yellowish; eight ounces; strongly acid. Specific gravity 
= 1017 . No blood ; contained a very minute trace of albumen ; did not clear 
with heat. 
8 '* 15”“ A.M. Slightly cloudy ; no blood ; no coagulum ; one and a half ounce, acid. 
Specific gravity =1020*7- Contained a considerable quantity of albumen, 
though he had nothing to eat and remained in bed. 
9 ’’ 30*“ A.M. Almost quite clear; three quarters of an ounce, acid. Passed just 
before breakfast, which consisted of a pint of boiled milk, sago, bread, with a 
little butter. Apparently rather less albumen. Specific gravity =1022. 
11*' 20'“ A.M. Yellowish milky. Three ounces made just before he got up for the 
day ; very feebly acid. Contained a considerable quantity of albumen ; more 
than the two preceding specimens. No spontaneous coagulation. Did not 
clear by heat. Specific gravity =1019*4. 
1 p.M. Milky ; coagulated spontaneously ; four ounces, neutral ; passed just be- 
fore dinner; mutton chop, onion with bread. 
