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March, 1945 RICE DIET—KEMPNER 147 Fig. 49. J.A.G. Nephrolithiasis, chronic nephritis, "hypertensive vascular disease." Rice diet started January 21, 1943. No digitalis. Reduction in heart size with change in transverse diameter of 38 per cent. [ |i loud, and there was a soft apical murmur. The liver was palpable 4 cm. below the costal margin and was moderately tender. The spleen was not palpable, and there was no tenderness in either kidney region. A right inguinal hernia was easily reducible. The prostate was slightly enlarged. The skin of both legs showed pigmentation from ulcers and dermatitis. The neurological examination gave no pathological findings. X-ray examination showed marked alveolar absorption in both jaws and root infection in two incisors. Many teeth were carious. Some thickening of the membrane was seen in the left antrum, and a shadow (polyp ?) in the floor. The transverse diameter of the heart was 16.7 cm. (fig. 49) ; the aorta was tortuous. The lung fields were clear. A flat plate of the abdomen and a retrograde pyelogram were reported as follows : "Urinary tract indistinct. Opaque shadow overlying left kidney (appears to be stone)." "Calyces, pelves, ureters normal except for stone in superior calyx, left. Bladder small, outline irregular." The electrocardiogram showed a normal sinus rhythm and inverted T-waves in lead 1; the angle of the electrical axis was +3 (fig. 50). \jr\2- 43 195/104 MM.HG. 6-22-43 148/96 MM.HG. 1-12—43 3-17-43 6-22-43 8-23-43 3-7-44 jag cm) 32 Fig. 50. J.A.G. Nephrolithiasis, chronic nephritis, "hypertensive vascular disease." Rice diet started January 21, 1943. No digitalis. Increase in angle of electrical axis from +3° to -f 46°. Inverted Tx has become upright.
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 147 (images) |
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-17-006-0159 |
Form General | Periodicals |
Page Type | all; all images; x-ray; 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_0159.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 | 147 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 147 Fig. 49. J.A.G. Nephrolithiasis, chronic nephritis, "hypertensive vascular disease." Rice diet started January 21, 1943. No digitalis. Reduction in heart size with change in transverse diameter of 38 per cent. [ |i loud, and there was a soft apical murmur. The liver was palpable 4 cm. below the costal margin and was moderately tender. The spleen was not palpable, and there was no tenderness in either kidney region. A right inguinal hernia was easily reducible. The prostate was slightly enlarged. The skin of both legs showed pigmentation from ulcers and dermatitis. The neurological examination gave no pathological findings. X-ray examination showed marked alveolar absorption in both jaws and root infection in two incisors. Many teeth were carious. Some thickening of the membrane was seen in the left antrum, and a shadow (polyp ?) in the floor. The transverse diameter of the heart was 16.7 cm. (fig. 49) ; the aorta was tortuous. The lung fields were clear. A flat plate of the abdomen and a retrograde pyelogram were reported as follows : "Urinary tract indistinct. Opaque shadow overlying left kidney (appears to be stone)." "Calyces, pelves, ureters normal except for stone in superior calyx, left. Bladder small, outline irregular." The electrocardiogram showed a normal sinus rhythm and inverted T-waves in lead 1; the angle of the electrical axis was +3 (fig. 50). \jr\2- 43 195/104 MM.HG. 6-22-43 148/96 MM.HG. 1-12—43 3-17-43 6-22-43 8-23-43 3-7-44 jag cm) 32 Fig. 50. J.A.G. Nephrolithiasis, chronic nephritis, "hypertensive vascular disease." Rice diet started January 21, 1943. No digitalis. Increase in angle of electrical axis from +3° to -f 46°. Inverted Tx has become upright. |
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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