690 
REPORTS OF CASES. 
improve any. During the night she strained violently, and 
voided about one ounce of urine tinged with blood, in which 
were four calculi as large as buckshot, and seven or eight 
smaller ones. The next day she could not retain either beef 
tea or a little diluted brandy. I gave her sub nitrate of bis¬ 
muth, but this only partially relieved the nausea. She grew 
steadily worse, and died about three o’clock in the afternoon of 
December 19th. 
I took the following notes at the autopsy : Scotch terrier 
bitch, about six years old, coat apparently healthy, very fat and 
slightly bloated. All the organs except the urinary apparatus 
were normal, so far as the unaided eye could detect. The left 
' kidney and both ureters were normal. The right kidney had a 
rough yellow patch on its anterior surface ; the structure of the 
organ, except directly under the yellow patch, where it was 
darker than normal, seemed healthy in color and consistency. 
The outer surface of the bladder was of a very dark-red color. 
The bladder, instead of occupying the pelvic cavity, was very 
much elongated ; so much so that the fundus lay on the floor 
of the abdominal cavity, in front of the mubilicus, giving it the 
shape of a very elongated pear resting on its side. Numerous 
calculi could be felt through the walls, which were very much 
thickened. The organ was removed, together with its short 
urethra, and when opened two or three drams of bloody fluid 
escaped, in which a large number of calculi were found. After 
washing the lining membrane, little stones were found imbedded 
here and there. This membrane was thicker, redder, softer, and 
more easily torn away than when normal. In all one hundred 
and ninety four calculi were found, varying in size from a pin’s 
head to buck shot. The total weight of the stones was one 
hundred and fourteen grains. They are of a bluish-white color; 
the larger ones regular, and the smaller ones irregular in con¬ 
tour. It is because of the large number of calculi that I con¬ 
sider this case interesting and worth reporting. 
