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March, 1945 RICE DIET—KEMPNER 127 98/60 MM. HG Fig. 33. W.B. Acute glomerulonephritis. Rice diet started May 6, 1943. No digitalis. Reduction in heart size with change in transverse diameter of 43 per cent. either kidney region. An indirect inguinal hernia, descending into the scrotum, was present on the right side. The prostate was small. Neurological examination showed left lower facial paralysis ("birth injury"). A chest film showed the lungs clear, the heart considerably enlarged (fig. 33). A flat plate of the abdomen showed advanced arthritic changes in both sacro-iliac joints; the kidneys were not distinctly seen; the liver was not enlarged. A sinus plate showed old infection in both antra. The electrocardiogram showed upright T-waves in leads 1, 2, and 3, a diphasic T-wave in lead 4, and no axis deviation. Accessory clinical findings: The hemoglobin was 91 per cent; there were 4,900,000 red blood cells, and 11,900 white blood cells with 2 per cent non-segmented polymorphonuclears, 68 per cent segmented polymorphonuclears, 2 per cent eosinophils, 3 per cent monocytes, 12 per cent large lymphocytes, and 13 per cent small lymphocytes; the corrected sedimentation rate was 5 mm. in one hour. The serological tests for syphilis were negative. The nonprotein nitrogen was 73 mg. per 100 cc. of blood. The total proteins were 6.1 Gm. per 100 cc. of plasma: albumin 2 Gm., globulin 4.1 Gm., albumin-globulin ratio 0.49. Chlorides (as sodium chloride) were 570 mg. per 100 cc. of plasma. The serum cholesterol concentration was 168 mg. per 100 cc. The urine had a specific gravity of 1.010, no sugar; there were 4.5 Gm. of albumin per 1000 cc. (6.3 Gm. in twenty-four hours), 30-35 red blood cells, 4-5 white blood cells per high power field, occasional hyaline and granular casts, and a 4 plus benzidine reaction. The urinary total nitrogen excretion was 15.6 Gm. in twenty-four hours, the urea excretion 18.4 Gm. in twenty-four hours. The results of the phenolsulfonphthalein test were as follows: Appearance time, ten minutes; excretion at the end of the first half hour 25 per cent, at one hour 20 per cent, at one and a half hours 18 per cent, at two hours 12 per cent; total excretion in two hours 75 per cent. Hookworm eggs were found in the stool. A culture from the nose and throat showed Micrococcus catarrhalis and alpha hemolytic organisms. Impression: Acute glomerulonephritis with edema, hypertension, cardiac enlargement, and azotemia. Course: The patient was afebrile except from the eighth to the eleventh hospital day, when his temperature went up to 38 C. The rice diet (1800 calories) was started on the first hospital day; fluid intake was limited to 400 cc. of fruit juices daily. During the first week, the weight fell from 73.1 Kg. to 63.25 Kg. (fig. 34), the blood pressure decreased from 176 systolic, 101 diastolic to 120 systolic, 80 diastolic, remaining at a level
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 127 (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-17-006-0139 |
Form General | Periodicals |
Page Type | all; all images; x-ray; 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_0139.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 | 3 |
Page Number | 127 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 127 98/60 MM. HG Fig. 33. W.B. Acute glomerulonephritis. Rice diet started May 6, 1943. No digitalis. Reduction in heart size with change in transverse diameter of 43 per cent. either kidney region. An indirect inguinal hernia, descending into the scrotum, was present on the right side. The prostate was small. Neurological examination showed left lower facial paralysis ("birth injury"). A chest film showed the lungs clear, the heart considerably enlarged (fig. 33). A flat plate of the abdomen showed advanced arthritic changes in both sacro-iliac joints; the kidneys were not distinctly seen; the liver was not enlarged. A sinus plate showed old infection in both antra. The electrocardiogram showed upright T-waves in leads 1, 2, and 3, a diphasic T-wave in lead 4, and no axis deviation. Accessory clinical findings: The hemoglobin was 91 per cent; there were 4,900,000 red blood cells, and 11,900 white blood cells with 2 per cent non-segmented polymorphonuclears, 68 per cent segmented polymorphonuclears, 2 per cent eosinophils, 3 per cent monocytes, 12 per cent large lymphocytes, and 13 per cent small lymphocytes; the corrected sedimentation rate was 5 mm. in one hour. The serological tests for syphilis were negative. The nonprotein nitrogen was 73 mg. per 100 cc. of blood. The total proteins were 6.1 Gm. per 100 cc. of plasma: albumin 2 Gm., globulin 4.1 Gm., albumin-globulin ratio 0.49. Chlorides (as sodium chloride) were 570 mg. per 100 cc. of plasma. The serum cholesterol concentration was 168 mg. per 100 cc. The urine had a specific gravity of 1.010, no sugar; there were 4.5 Gm. of albumin per 1000 cc. (6.3 Gm. in twenty-four hours), 30-35 red blood cells, 4-5 white blood cells per high power field, occasional hyaline and granular casts, and a 4 plus benzidine reaction. The urinary total nitrogen excretion was 15.6 Gm. in twenty-four hours, the urea excretion 18.4 Gm. in twenty-four hours. The results of the phenolsulfonphthalein test were as follows: Appearance time, ten minutes; excretion at the end of the first half hour 25 per cent, at one hour 20 per cent, at one and a half hours 18 per cent, at two hours 12 per cent; total excretion in two hours 75 per cent. Hookworm eggs were found in the stool. A culture from the nose and throat showed Micrococcus catarrhalis and alpha hemolytic organisms. Impression: Acute glomerulonephritis with edema, hypertension, cardiac enlargement, and azotemia. Course: The patient was afebrile except from the eighth to the eleventh hospital day, when his temperature went up to 38 C. The rice diet (1800 calories) was started on the first hospital day; fluid intake was limited to 400 cc. of fruit juices daily. During the first week, the weight fell from 73.1 Kg. to 63.25 Kg. (fig. 34), the blood pressure decreased from 176 systolic, 101 diastolic to 120 systolic, 80 diastolic, remaining at a level |
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 Treatment Of Kidney Disease And Hypertensive Vascular Disease Ivith Rice Diet, Iii |
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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