The possible relationship between the concurrence of a liver severely damaged by trauma and a high grade nephrosis with extreme retention of creatinine leads us to a consideration of the mechanism by which such a picture might be produced. We could find a record of but one case that in any manner paralleled the one reported here.
REPORT OF A CASE
—H. C., a white boy, aged 15, was admitted to St. Luke's Hospital on June 20, 1930, and died on July 1, 1930. He was injured when an automobile turned over and a portion of the car rested on his chest and abdomen.When he entered the hospital, he was in a state of shock. Examination revealed an abrasion on the left thoracic wall, fracture of the right clavicle, subcutaneous emphysema above and below the right clavicle and tenderness along the right costal margin and in the region