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March, 1945 RICE DIET—KEMPNER 159 20 per cent, at one and a half hours 10 per cent, at two hours no specimen; total excretion in two hours 45 per cent. The patient was discharged for another four weeks on strict rice diet and was advised to stay in bed except for about an hour and a half a day. Her vision continued to clear up and she had no headaches. Upon examination on January 15, 1945, the eye-grounds showed further improvement (fig. 25). The disc margins were more sharply outlined; some metallic exudates were still present, but the greater part of the retinal edema, hemorrhages and cotton-wool exudates had disappeared. The heart was smaller, with a change in the transverse diameter of 26 per cent compared with the chest film of November 2 (fig. 57). The aortic second sound was not louder than the pulmonic second sound. The patient was advised to continue on the strict rice regime and to rest at least twenty hours a day for another six weeks. She followed the rice regime but was up and around for about eight hours every day doing the cooking and light housework for her family. She was completely asymptomatic and was feeling healthy and strong. Examination of the eyegrounds on Febuary 20 showed the optic discs sharply outlined; most of the exudates had disappeared (fig. 56). She was advised to continue the rice diet, to which non-leguminous vegetables were added, and to return to the hospital for re-examination after two months. A comparison of the findings on the patient's four admissions is given below: Oct. 30- Dec. 18- Jan. 15- Feb. 20- Nov. 2, 191*1, Dec. 20, 19/,I* Jan. 18, 191*5 Feb. 23, 191*5 Blood pressure (mm. Hg.)............................................ 233/157 120/87 120/87 121/87 Hemoglobin (% of 15.5 Gm.)....................................... 95 103 90 82 RBC (per cubic mm.).................................................... 4,800,000 5,000,000 4,610,000 4,600,000 WBC (per cubic mm.).................................................. 9,900 5,900 5,800 5,100 NPN (mg. per 100 cc. of blood)................................. 26 24 26 25 Urea N (mg. per 100 cc. of blood)............................. 9.5 1.2 1.8 3.0 Albumin (Gm. per 100 cc. of plasma)....................... 3.9 3.8 3.8 3.8 Globulin (Gm. per 100 cc. of plasma)....................... 3.3 2.9 3.1 3.3 Chlorides (as mg. NaCl per 100 cc. of plasma) 560 572 520 532 Calcium (mg. per 100 cc. of serum)........................... 9.6 9.4 10.1 9.1 Phosphorus (mg. per 100 cc. of serum)..................... 2.7 4.0 2.2 3.5 Cholesterol (mg. per 100 cc. of serum)................... 240 153 132 110 Urine albumin (Gm. per 1000 cc.)............................... 0.67 0.2 0.18 0.28 PSP (% excretion in 2 hours)..................................... 61, 58 45 57 47 Weight (Kg.) ................................................................. 78.25 70 68.5 64 Papilledema ..................................................................... + + + + + 0 0 Retinal hemorrhages and exudates............................. + + + + + + + + + + Angle of electrical axis................................................. + 18° + 51° +43° +58° T wave in lead 1............................................................... . Upright Upright Upright Upright Transverse diameter of heart (cm.)......................... 16.6 14.2 13.1 12.9 headache on only two occasions and her vision had continued to improve. She felt considerably better. Her blood pressure averaged 120 systolic, 87 diastolic. Her weight was 70 Kg. The retinae showed marked improvement; the papilledema had decreased, and there remained only a few hemorrhages and patches of exudates. The transverse diameter of the heart was 14.2 cm (a change of 16 per cent in seven weeks) ; the internal diameter of the chest was 32.2 cm. The electrocardiogram showed the angle of the electrical axis to be +51 degrees. The hemoglobin was 103 per cent, red blood cells 5,000,000, white blood cells 5,900. The nonprotein nitrogen was 24 mg. per 100 cc. of blood, the urea nitrogen 1.2 mg., the urea ratio 5.0 per cent. Chlorides (as sodium chloride) were 572 mg. per 100 cc. of plasma; calcium was 9.4 mg. per 100 cc. of serum, phosphorus 4.0 mg., cholesterol 153 mg. Total proteins were 6.7 Gm. per 100 cc. of plasma: albumin 3.8 Gm., globulin 2.9 Gm., albumin-globulin ratio 1.3. The urine showed an acid reaction and a specific gravity of 1.010; there was no sugar; the albumin excretion was 0.2 Gm. per 1000 cc. Total nitrogen excretion was 2.9 Gm. per 1000 cc. of urine; urea excretion 4.3 Gm.; chloride excretion (as sodium chloride) 0.22 Gm. The results of the phenolsulfonphthalein test were as follows: Excretion at the end of the first half hour 15 per cent, at one hour
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 159 (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-17-006-0171 |
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_0171.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 | 159 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 159 20 per cent, at one and a half hours 10 per cent, at two hours no specimen; total excretion in two hours 45 per cent. The patient was discharged for another four weeks on strict rice diet and was advised to stay in bed except for about an hour and a half a day. Her vision continued to clear up and she had no headaches. Upon examination on January 15, 1945, the eye-grounds showed further improvement (fig. 25). The disc margins were more sharply outlined; some metallic exudates were still present, but the greater part of the retinal edema, hemorrhages and cotton-wool exudates had disappeared. The heart was smaller, with a change in the transverse diameter of 26 per cent compared with the chest film of November 2 (fig. 57). The aortic second sound was not louder than the pulmonic second sound. The patient was advised to continue on the strict rice regime and to rest at least twenty hours a day for another six weeks. She followed the rice regime but was up and around for about eight hours every day doing the cooking and light housework for her family. She was completely asymptomatic and was feeling healthy and strong. Examination of the eyegrounds on Febuary 20 showed the optic discs sharply outlined; most of the exudates had disappeared (fig. 56). She was advised to continue the rice diet, to which non-leguminous vegetables were added, and to return to the hospital for re-examination after two months. A comparison of the findings on the patient's four admissions is given below: Oct. 30- Dec. 18- Jan. 15- Feb. 20- Nov. 2, 191*1, Dec. 20, 19/,I* Jan. 18, 191*5 Feb. 23, 191*5 Blood pressure (mm. Hg.)............................................ 233/157 120/87 120/87 121/87 Hemoglobin (% of 15.5 Gm.)....................................... 95 103 90 82 RBC (per cubic mm.).................................................... 4,800,000 5,000,000 4,610,000 4,600,000 WBC (per cubic mm.).................................................. 9,900 5,900 5,800 5,100 NPN (mg. per 100 cc. of blood)................................. 26 24 26 25 Urea N (mg. per 100 cc. of blood)............................. 9.5 1.2 1.8 3.0 Albumin (Gm. per 100 cc. of plasma)....................... 3.9 3.8 3.8 3.8 Globulin (Gm. per 100 cc. of plasma)....................... 3.3 2.9 3.1 3.3 Chlorides (as mg. NaCl per 100 cc. of plasma) 560 572 520 532 Calcium (mg. per 100 cc. of serum)........................... 9.6 9.4 10.1 9.1 Phosphorus (mg. per 100 cc. of serum)..................... 2.7 4.0 2.2 3.5 Cholesterol (mg. per 100 cc. of serum)................... 240 153 132 110 Urine albumin (Gm. per 1000 cc.)............................... 0.67 0.2 0.18 0.28 PSP (% excretion in 2 hours)..................................... 61, 58 45 57 47 Weight (Kg.) ................................................................. 78.25 70 68.5 64 Papilledema ..................................................................... + + + + + 0 0 Retinal hemorrhages and exudates............................. + + + + + + + + + + Angle of electrical axis................................................. + 18° + 51° +43° +58° T wave in lead 1............................................................... . Upright Upright Upright Upright Transverse diameter of heart (cm.)......................... 16.6 14.2 13.1 12.9 headache on only two occasions and her vision had continued to improve. She felt considerably better. Her blood pressure averaged 120 systolic, 87 diastolic. Her weight was 70 Kg. The retinae showed marked improvement; the papilledema had decreased, and there remained only a few hemorrhages and patches of exudates. The transverse diameter of the heart was 14.2 cm (a change of 16 per cent in seven weeks) ; the internal diameter of the chest was 32.2 cm. The electrocardiogram showed the angle of the electrical axis to be +51 degrees. The hemoglobin was 103 per cent, red blood cells 5,000,000, white blood cells 5,900. The nonprotein nitrogen was 24 mg. per 100 cc. of blood, the urea nitrogen 1.2 mg., the urea ratio 5.0 per cent. Chlorides (as sodium chloride) were 572 mg. per 100 cc. of plasma; calcium was 9.4 mg. per 100 cc. of serum, phosphorus 4.0 mg., cholesterol 153 mg. Total proteins were 6.7 Gm. per 100 cc. of plasma: albumin 3.8 Gm., globulin 2.9 Gm., albumin-globulin ratio 1.3. The urine showed an acid reaction and a specific gravity of 1.010; there was no sugar; the albumin excretion was 0.2 Gm. per 1000 cc. Total nitrogen excretion was 2.9 Gm. per 1000 cc. of urine; urea excretion 4.3 Gm.; chloride excretion (as sodium chloride) 0.22 Gm. The results of the phenolsulfonphthalein test were as follows: Excretion at the end of the first half hour 15 per cent, at one hour |
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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