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March, 1945 RICE DIET—KEMPNER 151 tient's own choice was added, although weight ivas lower- than when the blood pressure was at its minimal level. W.C.F. (A73824), a 63 year old white farmer and businessman, was admitted to Duke Hospital for the fourth time on February 16, 1943. His chief complaints were severe frontal headache, shortness of breath, nocturnal dyspnea, and wheezing. History: Between the ages of 16 and 21, he had had "repeated" gonorrheal infections with bilateral epididymitis. At 21 he passed a "kidney stone," and when he was 26 a urethrostomy was performed for an impacted calculus. He had influenza and pneumonia at 37, and malaria at 61. He began to become obese when he was about 40. He had led a "very active life" until the age of 54, when moderate exertional dyspnea appeared and he had a "feeling of getting old." At 56 he weighed 102 Kg. (his height was 166 cm.). Between 56 and 61, his systolic blood pressure rose to 185. He had occasional albuminuria, nocturia, and frontal headaches; he was treated by rest, restriction of diet, diuretics, and laxatives. In November, 1941, he was admitted to Duke Hospital because of increasing dyspnea and rather sudden attacks of epigastric discomfort. His weight at that time icas 93 Kg. Pulmonary emphysema was present and the heart was enlarged in air diameters (transverse diameter 17.7 cm.). There was marked widening and tortuosity of the aorta. His blood pressure ranged from 170 to 210 systolic and from 114 to 129 diastolic. The electrocardiogram showed the T-waves in leads 1 and 4 inverted; the angle of the electrical axis was —55 degrees. The urine gave a 1 plus reaction for albumin; the phenolsulfonphthalein excretion in one half hour was 23 per cent, the total excretion in two hours 44 per cent. There were prostatic stones. A diagnosis of "hypertensive vascular disease" was made, and the patient was put on a 1200 calorie reduction diet and given amin-ophylline. Several re-examinations were made in this hospital because of the same complaints. The blood pressure was slowly rising (fig. 52), in spite of continued weight loss on the reduction diet. The examination on the patient's fourth admission showed the following findings: His weight ivas 77 Kg., his blood pressure 225 systolic, 130 diastolic. The heart (fig. 53) was greatly enlarged; the transverse mm Ma 270 260 250 240 230 220 210 200 4 190 180 170 160 ISO 140 130 120 HOT 100 90 80 -70 W C F,/, 62.Cartfloc (nla'gtmtot, Lift oik deviation, Ti Inversion 60 REDUCTION DIET WEIGHT LOSS 351bs^ RICE DIET : STRICT. | mqqi-i-1 I FIED F——1 MANY EXCEPTIONS At ,-V - 270 260 250 | 240 230 220 rl- 210 200 190 180 70 4 160 ISO 140 130 120 110 100 - 90 - 80 - 70 60 12 26 2 Nov'41 Jon '42 July'42 . IN HOSPITAL I I .AT HOME W .WORKING 16 20 25 i 3 5 21 Feb'43 Morch 25 30 16 22 22 26 May July Fig. 52. W.C.F. "Hypertensive vascular disease." Increase of blood pressure in spite of weight loss of 35 pounds in 15 months before rice diet. Decrease of blood pressure in 5 weeks on rice diet. Increase of blood pressure in spite of further weight loss after eating other food in addition to the rice diet. diameter was 18.0 cm. The electrocardiogram showed the T-waves in lead 1 inverted; the angle of the electrical axis was —66 degrees. The hemoglobin was 88 per cent, red blood cells 4,580,000, white blood cells 12,350. The serological tests for syphilis were negative. The nonprotein nitrogen was 42 mg. per 100 cc. of blood, chlorides (as sodium chloride) were 586 mg. per 100 cc. of plasma, calcium was 8.7 mg. per 100 cc. of serum, phosphorus 3.0 mg., cholesterol 172 mg. Total proteins were 7.2 Gm. per 100 cc. of plasma: albumin 3.6 Gm., globulin 3.6 Gm. The urine had a specific gravity of 1.011, and contained 1.8 Gm. of albumin per 1000 cc. and 40-60 white blood cells per high power field. Course: The rice regime was started immediately (2000 calories, 1000-1200 cc. of fruit juices). No digitalis or other medication was given, and the only additional therapeutic measure was oxygen inhalation for
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 151 (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-17-006-0163 |
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_0163.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 | 151 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 151 tient's own choice was added, although weight ivas lower- than when the blood pressure was at its minimal level. W.C.F. (A73824), a 63 year old white farmer and businessman, was admitted to Duke Hospital for the fourth time on February 16, 1943. His chief complaints were severe frontal headache, shortness of breath, nocturnal dyspnea, and wheezing. History: Between the ages of 16 and 21, he had had "repeated" gonorrheal infections with bilateral epididymitis. At 21 he passed a "kidney stone" and when he was 26 a urethrostomy was performed for an impacted calculus. He had influenza and pneumonia at 37, and malaria at 61. He began to become obese when he was about 40. He had led a "very active life" until the age of 54, when moderate exertional dyspnea appeared and he had a "feeling of getting old." At 56 he weighed 102 Kg. (his height was 166 cm.). Between 56 and 61, his systolic blood pressure rose to 185. He had occasional albuminuria, nocturia, and frontal headaches; he was treated by rest, restriction of diet, diuretics, and laxatives. In November, 1941, he was admitted to Duke Hospital because of increasing dyspnea and rather sudden attacks of epigastric discomfort. His weight at that time icas 93 Kg. Pulmonary emphysema was present and the heart was enlarged in air diameters (transverse diameter 17.7 cm.). There was marked widening and tortuosity of the aorta. His blood pressure ranged from 170 to 210 systolic and from 114 to 129 diastolic. The electrocardiogram showed the T-waves in leads 1 and 4 inverted; the angle of the electrical axis was —55 degrees. The urine gave a 1 plus reaction for albumin; the phenolsulfonphthalein excretion in one half hour was 23 per cent, the total excretion in two hours 44 per cent. There were prostatic stones. A diagnosis of "hypertensive vascular disease" was made, and the patient was put on a 1200 calorie reduction diet and given amin-ophylline. Several re-examinations were made in this hospital because of the same complaints. The blood pressure was slowly rising (fig. 52), in spite of continued weight loss on the reduction diet. The examination on the patient's fourth admission showed the following findings: His weight ivas 77 Kg., his blood pressure 225 systolic, 130 diastolic. The heart (fig. 53) was greatly enlarged; the transverse mm Ma 270 260 250 240 230 220 210 200 4 190 180 170 160 ISO 140 130 120 HOT 100 90 80 -70 W C F,/, 62.Cartfloc (nla'gtmtot, Lift oik deviation, Ti Inversion 60 REDUCTION DIET WEIGHT LOSS 351bs^ RICE DIET : STRICT. | mqqi-i-1 I FIED F——1 MANY EXCEPTIONS At ,-V - 270 260 250 | 240 230 220 rl- 210 200 190 180 70 4 160 ISO 140 130 120 110 100 - 90 - 80 - 70 60 12 26 2 Nov'41 Jon '42 July'42 . IN HOSPITAL I I .AT HOME W .WORKING 16 20 25 i 3 5 21 Feb'43 Morch 25 30 16 22 22 26 May July Fig. 52. W.C.F. "Hypertensive vascular disease." Increase of blood pressure in spite of weight loss of 35 pounds in 15 months before rice diet. Decrease of blood pressure in 5 weeks on rice diet. Increase of blood pressure in spite of further weight loss after eating other food in addition to the rice diet. diameter was 18.0 cm. The electrocardiogram showed the T-waves in lead 1 inverted; the angle of the electrical axis was —66 degrees. The hemoglobin was 88 per cent, red blood cells 4,580,000, white blood cells 12,350. The serological tests for syphilis were negative. The nonprotein nitrogen was 42 mg. per 100 cc. of blood, chlorides (as sodium chloride) were 586 mg. per 100 cc. of plasma, calcium was 8.7 mg. per 100 cc. of serum, phosphorus 3.0 mg., cholesterol 172 mg. Total proteins were 7.2 Gm. per 100 cc. of plasma: albumin 3.6 Gm., globulin 3.6 Gm. The urine had a specific gravity of 1.011, and contained 1.8 Gm. of albumin per 1000 cc. and 40-60 white blood cells per high power field. Course: The rice regime was started immediately (2000 calories, 1000-1200 cc. of fruit juices). No digitalis or other medication was given, and the only additional therapeutic measure was oxygen inhalation for |
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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