During the past year a limited number of cases of ear affections have come under my observation where there were certain well marked symptoms such as tinnitus aurium, dull aching pain referred to the region of the mastoid, more or less reduction of the hearing power, slight irregularity in the gait, etc., where there were no appreciable pathologic conditions of the structures of the ear as far as could be ascertained. In most of the cases the patients were of large fleshy build and over-fed appearance and examination of the urine showed the presence of more or less albumin.
I present two cases for discussion as to whether there was not a possible connection between the ear symptoms and the organic disease of the kidneys.
Case 1.
—Benjamin B., aged 50, a plumber, consulted me March 4, 1893, complained of dull aching pain in the region of the mastoid. The