Annan's Report of Cases in the Baltimore Hospital. the disease. The irritable state of the stomach, and the great pain in the region of the kidney, which immediately followed, did not materially dis¬ turb the healthy condition of the pulse, skin and tongue; even coma, attended with stertorous breathing did not affect them. I can think of no other disease that would produce a similar set of symptoms. Hence their importance and their specific character. There are other facts and views connected with this case, which give to it additional interest. It will be seen that the left kidney remained unaf¬ fected during the process of the destruction of the other, and on post mortem examination, was found atrophied, and of course its function de¬ stroyed. I have since learned, that about forty years ago, this patient was sick for a long time, and the urinary organs were the parts affected. Her par¬ ticular symptoms, the friends now living cannot recollect. The probability is, that the left kidney was destroyed at that time. Whether the right kid¬ ney sympathised with it then, I cannot learn, but its function was continued; therefore we may infer that, had the left kidney been in a healthy condition at the time of her last sickness, it would have performed the function of secretion, and the patient would have survived the existence of the disease. We also infer that acute nephritis of one kidney may, and does often occur, and even destroy the function of the organ, without exhibiting any fatal symptoms, not even enough to lead to the detection of the disease. Sup¬ pression would not take place, so long as one kidney performed its function. Coma, which we suppose is induced by impure quality rather than an undue quantity of the blood, and which depends on suppression, would not supervene. 1 he urinous odour would be wanting, and the irritable stomach and the constipation would indicate various diseases, while the pulse, skin, and tongue would be no direct guide. Hence it will appear that it is only complete, or nearly complete suppression that would lead to the suspicion of the existence of the disease. It will appear also, that when the disease is sufficiently developed to be detected, the prognosis must be unfavourable. Is it not an interesting fact, that in the foregoing case, the right kidney should perform double the secretion it was intended by nature to perform, and continue it for forty years without becoming diseased? Art. IX.-Report of Cases Treated in the Baltimore Alms-House Hospital.