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March, 1945 RICE DIET—KEMPNER 141 NPN (mg per 100 cc blood) o+omc rYtuomnm<Tit,^s^t >\ RICE 0 I E T PLUS non-leguminous vegetables 20 16 23 i 8 14 22 i 510 7 15 25 i 5 15 i 20 20 i 20 juur 1942 august oct nov jan 1943 feb march may june ^ Dm* Fig. 45. O.P. Terminal uremic stage of chronic pyelonephritis. Decrease of nonprotein nitrogen on rice diet. Increase of nonprotein nitrogen after rice diet was interrupted. the abdomen showed a collection of small stones in the region of the lower calyx of the right kidney and one large stone, more than 1 cm. in diameter, and numerous small stones below the lower calyx of the left kidney. Hydronephrosis was present on the right. The electrocardiogram showed inverted T-waves in lead 1 and a splintered QRS complex in lead 3; the angle of the electrical axis was +55 degrees. Accessory clinical findings: The hemoglobin was 60-70 per cent and there were 10,500 white blood cells. The nonprotein nitrogen (fig. 45) ranged from 50-73 mg. per 100 cc. of blood; the carbon dioxide combining power of the plasma was 48 volumes per cent. Total proteins were 5.8 Gm. per 100 cc. of plasma: albumin 3.5 Gm., globulin 2.3 Gm., albumin-globulin ratio 1.5. Chlorides (as sodium chloride) were 556 mg. per 100 cc. of serum, calcium was 10.3 mg., phosphorus 4.0 mg., phosphatase 4.3 Bodansky units. The serum cholesterol was 230 mg. per 100 cc. The urine contained a moderate amount of albumin, 10-15 white blood cells per high power field, many red blood cells, and many small cocci from both kidney pelves. The total phenolsulfonphthalein excretion in two hours was 5-10 per cent. Impression: Bilateral nephrolithiasis; chronic pyelonephritis with marked decrease of the renal excretory function; hy- pertension ; vascular retinopathy with papilledema, hemorrhages, and exudates. Course: The patient was able to eat only part of the regular hospital diet and vomited frequently. She complained of intense headache. Her blood pressure during the first eight days averaged 257 systolic, 153 diastolic. The rice diet (1800 calories, 1500 cc. of fruit juices) was started on the ninth day, July 23, 1942. Oxygen inhalation was given for two hours three times a day. After a few days, the nausea subsided, and the headache became less intense. After sixteen days both nausea and headache had completely disappeared, the blood pressure had decreased to a level of 190 systolic, 120 diastolic, and there were no new retinal hemorrhages or exudates. The nonprotein nitrogen remained high (average: 72 mg. per 100 cc. of blood). After discharge from the hospital on August 14, 1942, the patient continued bedrest and followed the rice regime, with the addition of non-leguminous vegetables. She was readmitted on October 22, 1942. She had had no complaints in the interval. Her headache had never recurred, and she could read fine print with either eye. There was no papilledema; most of the hemorrhages and exudates were clearing up and no new exudates or hemorrhages were present; the previously engorged and tortuous veins were straighter and smaller in caliber; more arterioles were visible, and there was less arteriovenous compression. The blood pressure was 200 systolic, 120 diastolic. The hemoglobin was 68 per cent, and there were 3,480,000 red blood cells and 6,000 white blood cells. The nonprotein nitrogen was 31-35 mg. per 100 cc. of blood, the urea nitrogen 14.9 mg. Chlorides (as sodium chloride) were 596 mg. per 100 cc. of serum, calcium was 10.0 mg., phosphorus 3.4 mg., cholesterol 224 mg. Total proteins were 5.1 Gm. per 100 cc. of plasma: albumin 3.0 Gm., globulin 2.1 Gm., albumin-globulin ratio 1.4. The urine was loaded with white blood cells; there were a few red blood cells, and a 2 plus to 4 plus benzidine reaction; albumin excretion was 0.8-1.2 Gm. per 1000 cc. The total phenolsulfonphthalein excretion in two hours was 7 per cent. Total nitrogen excretion was 1.59 Gm. in twenty-four hours, urea excretion 2.12 Gm. in twenty-four hours (945 cc. of urine). The patient continued the rice diet with non-leguminous vegetables for another four
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 141 (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-17-006-0153 |
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_0153.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 | 141 |
Health Discipline | Medicine |
Full Text |
March, 1945
RICE DIET—KEMPNER
141
NPN (mg per 100 cc blood)
o+omc rYtuomnm |
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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