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March, 1945 RICE DIET—KEMPNER 131 mmHg N. McL % AGE 33, Chronic glomerulonephritis mmHg. — In hospital 1 1 At home □ Albumin gm./IOOO cc urine Fig. 37. N. McL. Chronic glomerulonephritis. Decrease of blood pressure to normal in two months on rice diet. The hemoglobin at discharge was 84 per cent. The urine contained 10-12 white blood cells per high power field, but no red blood cells and no casts. The weight was 60.2 Kg. Non-leguminous vegetables and small amounts of Irish and sweet potatoes were added to the strict rice diet. The patient stayed on this diet for the following three months and was up part of the clay. When she was again seen in the hospital on June 1, 1943, she said that she had had no complaints except minimal ankle edema. Her blood pressure was 120 systolic, 70 diastolic, her weight 62.5 Kg. The nonprotein nitrogen was 36 mg. per 100 cc. of blood. Total proteins were 5.8 Gm. per 100 cc. of plasma; the albumin-globulin ratio was 1.2. Chlorides (as sodium chloride) were 592 mg. per 100 cc. of serum, calcium was 8.7 mg., phosphorus 3.4 mg., cholesterol 110 mg. The hemoglobin was 48 per cent, red blood cells 2,200,000, white blood cells 5,440. After five days in the hospital she was discharged on the diet which was started February 27, further modified by the addition of one egg six times a week and Vi pound of liver, chicken, or lean beef four times a week. Examination on November 1-5, 1943, gave the following findings: Blood pressure 124 systolic, 86 diastolic; hemoglobin 97 per cent, red blood cells 4,200,000; nonprotein nitrogen 43 mg., urea nitrogen 18 mg. per 100 cc. of blood; total proteins 6.2 Gm. per 100 cc. of plasma (albumin-globulin ratio 2.0) ; cholesterol 140 mg. per 100 cc. of serum. The urinary total nitrogen excretion was 3.4 Gm., the urea excretion 5.03 Gm. in twenty-four hours (580 cc.). The urea clearance was 46.2 per cent of normal. Phenolsulfonphthalein excretion in two hours was 21 per cent. The transverse diameter of the heart was 10.7 cm. The patient was feeling very well and had been doing light housework. Her diet was further modified to include corn, beans, and peas, besides the eggs, meat, and vegetables allowed before. On March 13-16, 1944, the blood pressure averaged 131 systolic, 85 diastolic; the weight was 61.5 Kg. The transverse diameter of the heart was 11.0 cm., that of the great vessels 5.3 cm. The nonprotein nitrogen was 46 mg. p£r 100 cc. of blood; total proteins were 6.1 Gm. per 100 cc. of plasma (albumin 3.2 Gm., globulin 2.9 Gm.). Two phenolsulfonphthalein tests showed a total
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 131 (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-17-006-0143 |
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_0143.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 | 131 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 131 mmHg N. McL % AGE 33, Chronic glomerulonephritis mmHg. — In hospital 1 1 At home □ Albumin gm./IOOO cc urine Fig. 37. N. McL. Chronic glomerulonephritis. Decrease of blood pressure to normal in two months on rice diet. The hemoglobin at discharge was 84 per cent. The urine contained 10-12 white blood cells per high power field, but no red blood cells and no casts. The weight was 60.2 Kg. Non-leguminous vegetables and small amounts of Irish and sweet potatoes were added to the strict rice diet. The patient stayed on this diet for the following three months and was up part of the clay. When she was again seen in the hospital on June 1, 1943, she said that she had had no complaints except minimal ankle edema. Her blood pressure was 120 systolic, 70 diastolic, her weight 62.5 Kg. The nonprotein nitrogen was 36 mg. per 100 cc. of blood. Total proteins were 5.8 Gm. per 100 cc. of plasma; the albumin-globulin ratio was 1.2. Chlorides (as sodium chloride) were 592 mg. per 100 cc. of serum, calcium was 8.7 mg., phosphorus 3.4 mg., cholesterol 110 mg. The hemoglobin was 48 per cent, red blood cells 2,200,000, white blood cells 5,440. After five days in the hospital she was discharged on the diet which was started February 27, further modified by the addition of one egg six times a week and Vi pound of liver, chicken, or lean beef four times a week. Examination on November 1-5, 1943, gave the following findings: Blood pressure 124 systolic, 86 diastolic; hemoglobin 97 per cent, red blood cells 4,200,000; nonprotein nitrogen 43 mg., urea nitrogen 18 mg. per 100 cc. of blood; total proteins 6.2 Gm. per 100 cc. of plasma (albumin-globulin ratio 2.0) ; cholesterol 140 mg. per 100 cc. of serum. The urinary total nitrogen excretion was 3.4 Gm., the urea excretion 5.03 Gm. in twenty-four hours (580 cc.). The urea clearance was 46.2 per cent of normal. Phenolsulfonphthalein excretion in two hours was 21 per cent. The transverse diameter of the heart was 10.7 cm. The patient was feeling very well and had been doing light housework. Her diet was further modified to include corn, beans, and peas, besides the eggs, meat, and vegetables allowed before. On March 13-16, 1944, the blood pressure averaged 131 systolic, 85 diastolic; the weight was 61.5 Kg. The transverse diameter of the heart was 11.0 cm., that of the great vessels 5.3 cm. The nonprotein nitrogen was 46 mg. p£r 100 cc. of blood; total proteins were 6.1 Gm. per 100 cc. of plasma (albumin 3.2 Gm., globulin 2.9 Gm.). Two phenolsulfonphthalein tests showed a total |
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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