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150 SlORTH CAROLINA MEDICAL JOURNAL February, 1945 being. He still was feeling "strong and increased. A barium enema and a gastro- healthy," and was working full time. intestinal series were reported negative. On September 13, 1944, he noticed the The preliminary impression was "catarrhal onset of painless jaundice with general jaundice." weakness. He was re-admitted on September One hundred grams of chicken (about 20 18 with marked jaundice. The bilirubin was Gm. of protein) per day was added to the 20.1 mg. per 100 cc. of serum and increased strict rice diet. Fluids were increased to to 30.5 mg. on September 29, then grad- 1600 cc. daily (1200 cc. of fruit juices, plus ually decreased to 4.4 mg. on October 23. The 200 cc. of 20 per cent dextrose with addi- liver could be felt 2-4 fingers' breadth below tional vitamins B and C and Hykinone intra- the costal margin and was slightly tender venously twice a day). He was given 0.6 Gm. to palpation. The blood pressure was 120 of choline chloride three times daily and systolic, 80 diastolic. The hemoglobin was kept on strict bed rest. His average blood 85 per cent, red blood cells 3,600,000, white pressure was 127 systolic, 83 diastolic. The blood cells 7,000; the nonprotein nitrogen angle of the electrical axis was +53 degrees, was 45 mg. per 100 cc. of blood, the urea He was discharged on October 23 and told nitrogen 22.6 mg. Total proteins were 7.5 to stay in bed and continue the rice diet, in- Gm. per 100 cc. of plasma (albumin 3.2 Gm., eluding non-leguminous vegetables and 100 globulin 4.3 Gm.). Chlorides (as sodium Gm. of chicken daily. Upon reexamination chloride) were 480 mg. per 100 cc. of plas- (December 6-7, 1944), he was "feeling per- ma, phosphorus was 4.1 mg. per 100 cc. of fectly well." The serum bilirubin was 1.1 serum, cholesterol 117 mg. The urine showed mg. per 100 cc. The liver had decreased in an occasional granular cast; the benzidine size, the edge being palpable only on deep reaction was negative. Albumin excretion inspiration. A gallbladder series showed a was 0.6 Gm. per 1000 cc. of urine. The test "poorly functioning gallbladder without for urobilinogen was negative for about stones." The blood pressure averaged 134 twelve days, then strongly positive. The re- systolic, 92 diastolic. The angle of the elec- sults of the bromsulfalein test (5 mg. of dye trical axis had decreased to +12 degrees, per kilogram of weight) were as follows: The patient was advised to continue the after fifteen minutes, 20 per cent retention; same regime for another three months and after thirty minutes, 20 per cent retention; to resume work. after forty-five minutes, 10 per cent reten- Findings on the latest examination, com- tion. The galactose tolerance test (40 Gm. of pared with findings on the first admission, galactose) showed no sugar in the urine, before the beginning of the rice diet, are Urine diastase and serum lipase were not shown below: January 11-21 December 6-7 19hS 19UU Blood pressure (mm. Hg.)..................................................................188/111 134/92 Hemoglobin (% of 15.5 Gm.)................................................................................57 - 73 RBC (per cubic mm.).......................................................v 2,820,000 3,700,000 WBC (per cubic mm.)..........................................................................................................7,600 7,400 NPN (mg. per 100 cc. of blood)............................................................................46, 58 32 Albumin (Gm. per 100 cc. of plasma)......................................................3.4 4.0 Globulin (Gm. per 100 cc. of plasma)......................................................2.7 3.0 Chlorides (as mg. NaCl per 100 cc. of plasma)................582, 602 524 Calcium (mg. per 100 cc. of serum)....................................................8.6 9.8 Phosphorus (mg. per 100 cc. of serum) 2.2 3.6 Cholesterol (mg. per 100 cc. of serum)................................................225 153 Urine albumin (Gm. per 1000 cc.)................................................................2.25 0.2 Hematuria ....................................................................................................................................................+ + + + 0 PSP (<7c excreted in 2 hours)..............................................................................20, 22.5 29 Weight (Kg.) ........................................................................................................................................65-60 66.2 Transverse diameter of heart (cm.)............................................................16.7 12.6 Angle of electrical axis........................................................................................................+3° +12° T wave in lead 1................................................................................................................................Inverted Upright Retinal hemorrhages and exudates................................................................++ 0 Patient 8. "Hypertensive vascular disease" ivith renal involvement (blood pressure 225 systolic, 130 diastolic). No improvement on rest, amino phylline, and reduction diets leading to a weight loss of 55 pounds. Example of decrease of high blood pressure and heart enlargement on strict rice diet. Increase in blood pressure when food of pa-
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 150 (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-17-006-0162 |
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_0162.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 | 150 |
Health Discipline | Medicine |
Full Text | 150 SlORTH CAROLINA MEDICAL JOURNAL February, 1945 being. He still was feeling "strong and increased. A barium enema and a gastro- healthy" and was working full time. intestinal series were reported negative. On September 13, 1944, he noticed the The preliminary impression was "catarrhal onset of painless jaundice with general jaundice." weakness. He was re-admitted on September One hundred grams of chicken (about 20 18 with marked jaundice. The bilirubin was Gm. of protein) per day was added to the 20.1 mg. per 100 cc. of serum and increased strict rice diet. Fluids were increased to to 30.5 mg. on September 29, then grad- 1600 cc. daily (1200 cc. of fruit juices, plus ually decreased to 4.4 mg. on October 23. The 200 cc. of 20 per cent dextrose with addi- liver could be felt 2-4 fingers' breadth below tional vitamins B and C and Hykinone intra- the costal margin and was slightly tender venously twice a day). He was given 0.6 Gm. to palpation. The blood pressure was 120 of choline chloride three times daily and systolic, 80 diastolic. The hemoglobin was kept on strict bed rest. His average blood 85 per cent, red blood cells 3,600,000, white pressure was 127 systolic, 83 diastolic. The blood cells 7,000; the nonprotein nitrogen angle of the electrical axis was +53 degrees, was 45 mg. per 100 cc. of blood, the urea He was discharged on October 23 and told nitrogen 22.6 mg. Total proteins were 7.5 to stay in bed and continue the rice diet, in- Gm. per 100 cc. of plasma (albumin 3.2 Gm., eluding non-leguminous vegetables and 100 globulin 4.3 Gm.). Chlorides (as sodium Gm. of chicken daily. Upon reexamination chloride) were 480 mg. per 100 cc. of plas- (December 6-7, 1944), he was "feeling per- ma, phosphorus was 4.1 mg. per 100 cc. of fectly well." The serum bilirubin was 1.1 serum, cholesterol 117 mg. The urine showed mg. per 100 cc. The liver had decreased in an occasional granular cast; the benzidine size, the edge being palpable only on deep reaction was negative. Albumin excretion inspiration. A gallbladder series showed a was 0.6 Gm. per 1000 cc. of urine. The test "poorly functioning gallbladder without for urobilinogen was negative for about stones." The blood pressure averaged 134 twelve days, then strongly positive. The re- systolic, 92 diastolic. The angle of the elec- sults of the bromsulfalein test (5 mg. of dye trical axis had decreased to +12 degrees, per kilogram of weight) were as follows: The patient was advised to continue the after fifteen minutes, 20 per cent retention; same regime for another three months and after thirty minutes, 20 per cent retention; to resume work. after forty-five minutes, 10 per cent reten- Findings on the latest examination, com- tion. The galactose tolerance test (40 Gm. of pared with findings on the first admission, galactose) showed no sugar in the urine, before the beginning of the rice diet, are Urine diastase and serum lipase were not shown below: January 11-21 December 6-7 19hS 19UU Blood pressure (mm. Hg.)..................................................................188/111 134/92 Hemoglobin (% of 15.5 Gm.)................................................................................57 - 73 RBC (per cubic mm.).......................................................v 2,820,000 3,700,000 WBC (per cubic mm.)..........................................................................................................7,600 7,400 NPN (mg. per 100 cc. of blood)............................................................................46, 58 32 Albumin (Gm. per 100 cc. of plasma)......................................................3.4 4.0 Globulin (Gm. per 100 cc. of plasma)......................................................2.7 3.0 Chlorides (as mg. NaCl per 100 cc. of plasma)................582, 602 524 Calcium (mg. per 100 cc. of serum)....................................................8.6 9.8 Phosphorus (mg. per 100 cc. of serum) 2.2 3.6 Cholesterol (mg. per 100 cc. of serum)................................................225 153 Urine albumin (Gm. per 1000 cc.)................................................................2.25 0.2 Hematuria ....................................................................................................................................................+ + + + 0 PSP (<7c excreted in 2 hours)..............................................................................20, 22.5 29 Weight (Kg.) ........................................................................................................................................65-60 66.2 Transverse diameter of heart (cm.)............................................................16.7 12.6 Angle of electrical axis........................................................................................................+3° +12° T wave in lead 1................................................................................................................................Inverted Upright Retinal hemorrhages and exudates................................................................++ 0 Patient 8. "Hypertensive vascular disease" ivith renal involvement (blood pressure 225 systolic, 130 diastolic). No improvement on rest, amino phylline, and reduction diets leading to a weight loss of 55 pounds. Example of decrease of high blood pressure and heart enlargement on strict rice diet. Increase in blood pressure when food of pa- |
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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