1.55 
SUMMARY 
1.  Duling  cxpcriincnlal  hacinoglohinuria  dependent  upon  liacino- 
globinaeinia,  as  also  in  the  haemogloliinuria  of  blackwatcr  fever, 
granular  casts  of  varying  size,  sometimes  very  soft,  sometimes  firm 
and  dense,  often  containing  degenerated  nuclei  derived  from  the 
epithelium  of  the  renal  tubules,  were  met  with  in  the  urine  (Fi^s.  21- 
3  0- 
2.  Dining  suppression  in  blackwatcr  fever  (Cases  ya  and  1 1) 
the  urine  contained  very  large  firm  casts  with  exceedingly  coarse 
granules,  often  surrounded  externally  by  epithelium  derived  from  the 
ducts  of  Bertini,  in  which  these  casts  were  formed  (Fig.  32). 
3.  The  amber-coloured  urine  passed  during  suppression  contained 
a  laige  amount  of  coagulable  proteid.  The  average  daily  amount  of 
mine  passed  dm  mg  nine  days  of  suppression  was  in  one  case  (/a) 
28  c.cm.,  in  another  case  (ii)  66c.cm. 
4-  Suppiession  of  111  me  in  blackwatcr  fever  is  of  mechanical 
origin,  due  to  a  blocking  of  the  renal  tubules. 
