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RICE DIET—KEMPNER 65 February, 1945 who had been on the rice diet for seventy days. The plasma chlorides were 93.1 milli-equivalents (as sodium chloride, 544 mg. per 100 cc. of plasma). The highest plasma chloride concentration found after more than two months of the rice regime was 102.3 milli-equivalents (as sodium chloride, 598 mg. per 100 cc. of plasma) in a patient with chronic nephritis in the nephrotic stage; the urine chloride concentration was about 5.2 milli-equivalents, the total urinary chloride excretion per twenty-four hours, 160 mg. The average values of 381 determinations of the plasma chlorides in 91 non-uremic patients (nonprotein nitrogen below 75 mg. per 100 cc. of blood) were: Before rice diet ................97.0 milli-equivalents (as sodium chloride, 567 mg. per 100 cc. of plasma) After 44 days (average) of rice diet ....................91.7 milli-equivalents (as sodium chloride, 536 mg. per 100 cc. of plasma) The rice diet as such—within the periods studied—does not cause a reduction of the plasma chlorides below the critical level. Since critical hypochloremia, however, is frequent in patients with kidney disease, symptoms such as muscle cramps, increased nervousness, and anorexia must be watched for and the chloride concentration in the plasma must be checked frequently. JAN. 4. NPN 66 MG./lOO CC. BLOOD MAR. 24. NPN 32 MG./lOO CC. BLOOD JAN. 7. ALBUMIN 13 GM./lOOO CC. URINE MAR. 21. ALBUMIN O.S GM./lOOO CC. URINEj f Fig. 1. L.K. (f., 33). Terminal stage of chronic nephritis with cardiorenal failure and uremic pericarditis. No decrease of hypertension and edema after ten days of high carbohydrate, 40 Gm. protein, salt-poor diet, with aminophylline and digitalis. Decrease of blood pressure to normal and loss of 50 pounds of edema on rice diet. SODIUM AMYTAL TEST ( \ • 0 2qm Sodium Amytol ) wm hg 240 CHRONIC GLOMERULONEPHRITIS CHRONIC PYELONEPHRITIS HYPERTENSIVE CARDIOVASCULAR DISEASE 230-220-210-200-190-180-170" 160 -150 140 -130-120 -110 -100 90 -80 -70 -60-50-40 /A. W kV nt in II! caffeine after 6 weeks of rice 0<et AFTER 11 WEEKS OF RICE DIET after 2 weeks of rice diet after ii months of rice diet after 3 weeks of rice diet Fig. 2. Effect of 0.6 Gm. of sodium amytal on the blood pressure of patients with chronic nephritis and "hypertensive vascular disease" before and after rice diet.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 65 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0077 |
Form General | Periodicals |
Page Type | all; all images; chart/table; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed61945medi_0077.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Issue Number | 2 |
Page Number | 65 |
Health Discipline | Medicine |
Full Text |
RICE DIET—KEMPNER 65
February, 1945
who had been on the rice diet for seventy days. The plasma chlorides were 93.1 milli-equivalents (as sodium chloride, 544 mg. per 100 cc. of plasma). The highest plasma chloride concentration found after more than two months of the rice regime was 102.3 milli-equivalents (as sodium chloride, 598 mg. per 100 cc. of plasma) in a patient with chronic nephritis in the nephrotic stage; the urine chloride concentration was about 5.2 milli-equivalents, the total urinary chloride excretion per twenty-four hours, 160 mg.
The average values of 381 determinations of the plasma chlorides in 91 non-uremic patients (nonprotein nitrogen below 75 mg. per 100 cc. of blood) were:
Before rice diet ................97.0 milli-equivalents
(as sodium chloride, 567 mg. per 100 cc. of plasma)
After 44 days (average)
of rice diet ....................91.7 milli-equivalents
(as sodium chloride, 536 mg. per 100 cc. of plasma)
The rice diet as such—within the periods studied—does not cause a reduction of the plasma chlorides below the critical level. Since critical hypochloremia, however, is frequent in patients with kidney disease, symptoms such as muscle cramps, increased nervousness, and anorexia must be watched for and the chloride concentration in the plasma must be checked frequently.
JAN. 4. NPN 66 MG./lOO CC. BLOOD MAR. 24. NPN 32 MG./lOO CC. BLOOD JAN. 7. ALBUMIN 13 GM./lOOO CC. URINE MAR. 21. ALBUMIN O.S GM./lOOO CC. URINEj f
Fig. 1. L.K. (f., 33). Terminal stage of chronic nephritis with cardiorenal failure and uremic pericarditis. No decrease of hypertension and edema after ten days of high carbohydrate, 40 Gm. protein, salt-poor diet, with aminophylline and digitalis. Decrease of blood pressure to normal and loss of 50 pounds of edema on rice diet.
SODIUM AMYTAL TEST
( \ • 0 2qm Sodium Amytol )
wm hg
240
CHRONIC GLOMERULONEPHRITIS
CHRONIC PYELONEPHRITIS
HYPERTENSIVE CARDIOVASCULAR DISEASE
230-220-210-200-190-180-170" 160 -150 140 -130-120 -110 -100 90 -80 -70 -60-50-40
/A.
W
kV nt
in
II!
caffeine
after 6 weeks of rice 0 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Article Title | Compensation Of Renal Metabolic Dysfunction |
Article Author | Walter Kempner |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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