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March, 1945 been working around the house. She had had no headache or any other complaint. Her blood pressure, however, was 138 systolic, 104 diastolic. The patient was warned of the possibility of a recurrence of her disease. Additions to the basic rice diet were restricted to carrots, one egg twice a week, and 2 ounces of beef, chicken, liver, or fish not more than twice a week. Blood pressure (mm. Hg.).............................................. Lowest blood pressure (mm. Hg.) in sodium amytal (0.6 Gm.) sleep................................ Hemoglobin (% of 15.5 Gm.)...................................... RBC (per cubic mm.).................................................... WBC (per cubic mm.).................................................... NPN (mg. per 100 cc. of blood)................................. Albumin (Gm. per 100 cc. of plasma)........................ Globulin (Gm. per 100 cc. of plasma)......................... Chlorides (as mg. NaCl per 100 cc. of plasma)...... Calcium (mg. per 100 cc. of serum)......................... Phosphorus (mg. per 100 cc. of serum)......... Cholesterol (mg. per 100 cc. of serum)...................... Albumin in urine (Gm. per 1000 cc.).......................... PSP (% excreted in two hours)................................. Weight (Kg.) .................................................................. Transverse diameter of heart (cm.)......................... Diameter of great vessels (cm.).................................. Angle of electrical axis.................................................. Retinal hemorrhages ..................................................... Patient 5. Nephrolithiasis; chronic pyelitis; terminal uremic stage of chronic nephritis (total' phenolsulfonphthalein excretion in tivo hours 5-10 per cent); "hypertensive vascular disease" (blood pressure 230-270 systolic, 130-160 diastolic); vascular retinopathy with papilledema, hemorrhages, and exudates. Example of decrease of high blood pressure and nonprotein nitrogen and of recovery of eyesight with disappearance of papilledema, hemorrhages, and exudates. O.P. (A87953), a 42 year old white widow and office worker, was admitted to the hospital on July 16, 1942, because of intense headaches and progressive failure of vision. History: The patient had her first attack of kidney colic at the age of 18; an appendectomy was performed at that time. Since then she had had repeated attacks, with fever, chills, nausea, hematuria, pyuria, and occasional passage of stones (about twenty in all). At 22 she developed hypertension and eclamptic convulsions during her first pregnancy. Her second and last pregnancy three years later was normal. Both her children are living. When she was 37 an operation was performed for the removal of a calculus obstructing the lower portion of the 139 When last seen on March 8-10, 1944, she had been following this diet. She was feeling "healthier than ever before" and doing all her work as a housewife and mother of three children. The findings on the latest examination compared with those on the first hospitalization here were as follows: April, 101,8 March, 191*1* 223/149 116/92 (average of 3 weeks) Caffeine given when sys- 187/134 tolic blood pressure fell below 72. 97 93 4,960,000 4,400,000 6,040 7,240 46 41 3.5 3.3 4.2 3.0 574 552 8.7 9.8 4.2 2.6 270 148 I.65 0.28 (average of 3 weeks) 12.5, 20-22.5 22 55.82 42.25 II.9 10.1 6.2 5.2 -f22° 4-57° + + 0 right ureter. Two years later three stones were removed from the left kidney pelvis. No stones had been passed since then, and she had had only two more attacks of kidney colic. Except for these attacks of acute pain, she had had very few symptoms referable to the urinary tract; there was occasional nocturia, but no burning on urination. The systolic blood pressure had ranged between 150 and 180 from the age of 22 until "a few years ago"; since then the blood pressure had been "excessively high." She had had occasional moderately severe headaches until 1941-42, when her headaches became very severe and she began having substernal oppression, nocturnal dyspnea, gradual loss of vision, and occasional slight ankle edema; she lost 20 pounds in weight. Since January, 1942, her systolic blood pressure had averaged 285; after two weeks of bed rest it was 250. Her headache became still worse and was only temporarily relieved by bromides and phenobarbital; morphine was given very rarely. Examination: The patient's height was 157 cm., her weight 54 Kg., temperature 37 C., pulse 80. She looked very ill and pale. There was no edema. She was unable to dis- RICE DIET—KEMPNER
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 139 (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-17-006-0151 |
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_0151.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 | 139 |
Health Discipline | Medicine |
Full Text | March, 1945 been working around the house. She had had no headache or any other complaint. Her blood pressure, however, was 138 systolic, 104 diastolic. The patient was warned of the possibility of a recurrence of her disease. Additions to the basic rice diet were restricted to carrots, one egg twice a week, and 2 ounces of beef, chicken, liver, or fish not more than twice a week. Blood pressure (mm. Hg.).............................................. Lowest blood pressure (mm. Hg.) in sodium amytal (0.6 Gm.) sleep................................ Hemoglobin (% of 15.5 Gm.)...................................... RBC (per cubic mm.).................................................... WBC (per cubic mm.).................................................... NPN (mg. per 100 cc. of blood)................................. Albumin (Gm. per 100 cc. of plasma)........................ Globulin (Gm. per 100 cc. of plasma)......................... Chlorides (as mg. NaCl per 100 cc. of plasma)...... Calcium (mg. per 100 cc. of serum)......................... Phosphorus (mg. per 100 cc. of serum)......... Cholesterol (mg. per 100 cc. of serum)...................... Albumin in urine (Gm. per 1000 cc.).......................... PSP (% excreted in two hours)................................. Weight (Kg.) .................................................................. Transverse diameter of heart (cm.)......................... Diameter of great vessels (cm.).................................. Angle of electrical axis.................................................. Retinal hemorrhages ..................................................... Patient 5. Nephrolithiasis; chronic pyelitis; terminal uremic stage of chronic nephritis (total' phenolsulfonphthalein excretion in tivo hours 5-10 per cent); "hypertensive vascular disease" (blood pressure 230-270 systolic, 130-160 diastolic); vascular retinopathy with papilledema, hemorrhages, and exudates. Example of decrease of high blood pressure and nonprotein nitrogen and of recovery of eyesight with disappearance of papilledema, hemorrhages, and exudates. O.P. (A87953), a 42 year old white widow and office worker, was admitted to the hospital on July 16, 1942, because of intense headaches and progressive failure of vision. History: The patient had her first attack of kidney colic at the age of 18; an appendectomy was performed at that time. Since then she had had repeated attacks, with fever, chills, nausea, hematuria, pyuria, and occasional passage of stones (about twenty in all). At 22 she developed hypertension and eclamptic convulsions during her first pregnancy. Her second and last pregnancy three years later was normal. Both her children are living. When she was 37 an operation was performed for the removal of a calculus obstructing the lower portion of the 139 When last seen on March 8-10, 1944, she had been following this diet. She was feeling "healthier than ever before" and doing all her work as a housewife and mother of three children. The findings on the latest examination compared with those on the first hospitalization here were as follows: April, 101,8 March, 191*1* 223/149 116/92 (average of 3 weeks) Caffeine given when sys- 187/134 tolic blood pressure fell below 72. 97 93 4,960,000 4,400,000 6,040 7,240 46 41 3.5 3.3 4.2 3.0 574 552 8.7 9.8 4.2 2.6 270 148 I.65 0.28 (average of 3 weeks) 12.5, 20-22.5 22 55.82 42.25 II.9 10.1 6.2 5.2 -f22° 4-57° + + 0 right ureter. Two years later three stones were removed from the left kidney pelvis. No stones had been passed since then, and she had had only two more attacks of kidney colic. Except for these attacks of acute pain, she had had very few symptoms referable to the urinary tract; there was occasional nocturia, but no burning on urination. The systolic blood pressure had ranged between 150 and 180 from the age of 22 until "a few years ago"; since then the blood pressure had been "excessively high." She had had occasional moderately severe headaches until 1941-42, when her headaches became very severe and she began having substernal oppression, nocturnal dyspnea, gradual loss of vision, and occasional slight ankle edema; she lost 20 pounds in weight. Since January, 1942, her systolic blood pressure had averaged 285; after two weeks of bed rest it was 250. Her headache became still worse and was only temporarily relieved by bromides and phenobarbital; morphine was given very rarely. Examination: The patient's height was 157 cm., her weight 54 Kg., temperature 37 C., pulse 80. She looked very ill and pale. There was no edema. She was unable to dis- RICE DIET—KEMPNER |
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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