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Time. Special
gravity.
Albumen
grammes
per litre.
Urine
Quantity.
Percent-
age Hæmo-
glbin.
Total
Hæmo-
globin
(blood
equi-
valent).
12 P.M. 17th January 1908 1020 .7 350 c.c. 6.6% 23 c.c.
12 NOON, 18th January 1908 1018 .5 450 c.c. 5% 22.5 c.c.
12-50 P.M. 1020 .3 300 c.c. 2.5% 8 c.c.
        TOTAL 183.5 c.c.

   Urobilin slown by zinc test.—Zinc urobilin bands visible on ten-fold dilution in all the
samples.

   Urine deposit

   2-30 p.m., 16th January 1908.—Casts not noticeable. Deposit chiefly formed of minute
globular masses.

   11 p.m., 16th January 1908.—Deposit similar to last but contains a small number of
epithelial cells.

   9 a.m., 17th January 1908.—Deposit contains many cells. Cells with double nuclei
common. Cells appear to be kidney epithelium.

   7 p.m., 17th January 1908.—Deposit largely composed of such cells and cell débris.

   12 noon, 18th January 1908.—Many cells and granular urates.

   Phosphates.—Much increased in latter samples.

Case XXI.—Ellenbari. February 1908.

   European. Age—35.

   Length of residence in Duars—5 years.

   History.—Was at Faskowa, Eastern Duars. Went home; returned in November
1907. Has taken quinine since coming out on Mondays and Fridays. Says he
was previously quite fit, but was noticed by his medical adviser to have been
looking latterly " very seedy." He states himself that he has had a heavy
cold which has made him feel weak in his legs (temperature ?).

   21st February 1908.—Late at night took his ordinary dose of quinine.

   22nd February 1908, 4 a.m.—Had a rigor and passed hæmoglobinous urine.

   Seen by us at 10 A.M. on the same day. Spleen several inches below costal margin.
Complains of severe epigastric pain. Yellow tint just noticeable.

   Blood.—Serum of an intense yellow colour with orange tint. Blood received in 5 per
cent. citrate and centrifugalised showed hæmoglobinær.

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