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March, 1945 RICE DIET—KEMPNER 155 J.m,/,44, Hyp*r(tn*l«« cord.ovotcutai dn«oj« , PSP / 2hr» 25 x, Raltnol htmorrhogti,QudolM,popillfdtmo-,cordioc enlofgemenl. tdemo f T, Invmion mm hg 19 I 6 Oct. 1942 Nov. - plasma proteins (gm p«'I00cc) - weight ( kg) Fig. 55. J.M. "Hypertensive vascular disease." Decrease of blood pressure on strict rice diet. Loss of 63 pounds of edema in 16 days. Improvement in plasma proteins. Decrease of albuminuria (from 5.9 Gm. to 2 Gm. per 1000 cc.). lost 63 pounds of weight. The total proteins increased from 3.9 Gm. to 5.1 Gm. per 100 cc. of plasma. The blood pressure ranged from 155 to 170 systolic, and from 90 to 105 diastolic (fig. 55). After twenty-three days of strict rice diet, the serum chlorides had decreased to 480 mg. per 100 cc., the serum calcium to 6.1 mg. per 100 cc. Sodium chlo- Blood pressure (mm. Hg.)............................................. ride (1.8-3.6 Gm.) was given for four days, and the chlorides increased to 510 mg. per 100 cc. of serum, the calcium to 8.8 mg. Calcium lactate (1.5-3 Gm. per day) was given by mouth for the next eight days. At the end of this time the serum calcium was 8.9 mg. per 100 cc., the plasma chlorides were 542 mg. per 100 cc. There was a definite rise in blood pressure (fig. 55). The total nitrogen excretion in the urine was 2.7 Gm. in twenty-four hours, the urea nitrogen excretion 1.85 Gm. in twenty-four hours. After eight weeks of rice diet (twenty-three days strict diet, twelve days with additional sodium chloride and calcium, twenty-one days with the addition of some non-leguminous vegetables), the patient was up and feeling well. He had no edema, headache, dyspnea, or substernal oppression. The heart was smaller in size. The blood pressure varied between 148 and 190 systolic and 74 and 100 diastolic (fig. 55). The T-waves in leads 2, 3, and 4 were upright, the T-wave in lead 1 was flat diphasic. Total proteins were 5.9 Gm. per 100 cc. of plasma, the albumin-globulin ratio 1.2. There were only rare red blood cells and casts in the urine; the amount of albumin had decreased considerably and the reaction for sugar was negative. Examination of the eyegrounds showed no papilledema. Most of the hemorrhages and exudates had been absorbed. The veins were still unequal in caliber, but engorgement and tortuosity had markedly decreased (fig. 54). The patient, who during the first hospital week was unable to recognize a hand at a distance of one or two feet, and after the first month of the rice regime still could not distinguish colors, was now able to read moderate size print and distinguish colors clearly. Findings on discharge compared with those on admission were as follows: October 19-20. 191,2 December 17,191,2 Hemoglobin (% of 15.5 Gm.) RBC (per cubic mm.).............. WBC (per cubic mm.)............ NPN (mg. per 100 cc. of bloi Albumin (Gm. per 100 cc. oi Globulin (Gm. per 100 cc. of Calcium (mg. per 100 cc. of s Phosphorus (mg. per 100 cc. Urine albumin (Gm. in 24 ho Weight (Kg.) .......................... Retinal hemorrhages and exu Papilledema .............................. of 230/140 167/90 (average of last 10 days) 87 77 3,960.000 3,900,000 12,600 7,500 42 46 1.7 3,3 2.2 2.6 8.5 8.9 5.0 4.3 10.0 3.8 (average of first week) 90.5 65.5 + + + + + + 0 Inverted Flat diphasic
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 155 (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-17-006-0167 |
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_0167.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 | 155 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 155 J.m,/,44, Hyp*r(tn*l«« cord.ovotcutai dn«oj« , PSP / 2hr» 25 x, Raltnol htmorrhogti,QudolM,popillfdtmo-,cordioc enlofgemenl. tdemo f T, Invmion mm hg 19 I 6 Oct. 1942 Nov. - plasma proteins (gm p«'I00cc) - weight ( kg) Fig. 55. J.M. "Hypertensive vascular disease." Decrease of blood pressure on strict rice diet. Loss of 63 pounds of edema in 16 days. Improvement in plasma proteins. Decrease of albuminuria (from 5.9 Gm. to 2 Gm. per 1000 cc.). lost 63 pounds of weight. The total proteins increased from 3.9 Gm. to 5.1 Gm. per 100 cc. of plasma. The blood pressure ranged from 155 to 170 systolic, and from 90 to 105 diastolic (fig. 55). After twenty-three days of strict rice diet, the serum chlorides had decreased to 480 mg. per 100 cc., the serum calcium to 6.1 mg. per 100 cc. Sodium chlo- Blood pressure (mm. Hg.)............................................. ride (1.8-3.6 Gm.) was given for four days, and the chlorides increased to 510 mg. per 100 cc. of serum, the calcium to 8.8 mg. Calcium lactate (1.5-3 Gm. per day) was given by mouth for the next eight days. At the end of this time the serum calcium was 8.9 mg. per 100 cc., the plasma chlorides were 542 mg. per 100 cc. There was a definite rise in blood pressure (fig. 55). The total nitrogen excretion in the urine was 2.7 Gm. in twenty-four hours, the urea nitrogen excretion 1.85 Gm. in twenty-four hours. After eight weeks of rice diet (twenty-three days strict diet, twelve days with additional sodium chloride and calcium, twenty-one days with the addition of some non-leguminous vegetables), the patient was up and feeling well. He had no edema, headache, dyspnea, or substernal oppression. The heart was smaller in size. The blood pressure varied between 148 and 190 systolic and 74 and 100 diastolic (fig. 55). The T-waves in leads 2, 3, and 4 were upright, the T-wave in lead 1 was flat diphasic. Total proteins were 5.9 Gm. per 100 cc. of plasma, the albumin-globulin ratio 1.2. There were only rare red blood cells and casts in the urine; the amount of albumin had decreased considerably and the reaction for sugar was negative. Examination of the eyegrounds showed no papilledema. Most of the hemorrhages and exudates had been absorbed. The veins were still unequal in caliber, but engorgement and tortuosity had markedly decreased (fig. 54). The patient, who during the first hospital week was unable to recognize a hand at a distance of one or two feet, and after the first month of the rice regime still could not distinguish colors, was now able to read moderate size print and distinguish colors clearly. Findings on discharge compared with those on admission were as follows: October 19-20. 191,2 December 17,191,2 Hemoglobin (% of 15.5 Gm.) RBC (per cubic mm.).............. WBC (per cubic mm.)............ NPN (mg. per 100 cc. of bloi Albumin (Gm. per 100 cc. oi Globulin (Gm. per 100 cc. of Calcium (mg. per 100 cc. of s Phosphorus (mg. per 100 cc. Urine albumin (Gm. in 24 ho Weight (Kg.) .......................... Retinal hemorrhages and exu Papilledema .............................. of 230/140 167/90 (average of last 10 days) 87 77 3,960.000 3,900,000 12,600 7,500 42 46 1.7 3,3 2.2 2.6 8.5 8.9 5.0 4.3 10.0 3.8 (average of first week) 90.5 65.5 + + + + + + 0 Inverted Flat diphasic |
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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