STATISTICS OF EXPERIMENTS. 



75 



CASE V. 



DESCRIPTION OF THE CASE. 



Male; born January 19, 1874; married; proprietor of a grocery; onset of 

 diabetes July 1909; sugar found in the urine October 1909; came under our 

 observation March 7, 1910; died February 6, 1911. 



Family history. No history of diabetes in the family. Father and one 

 child well. Wife has had two miscarriages. Mother ill, diagnosis unknown. 

 A brother is not rugged, and one sister died of typhoid fever. 



Past history. The patient advanced slowly at school because of "neu- 

 ralgia" and headaches. Measles, mumps, two attacks of diphtheria. "Inflam- 

 mation of the gall-duct," accompanied with severe pain but without jaundice, 

 occurred three or four times at about 32 years of age. At one time consider- 

 able alcoholic liquor was used. 



General history of the case. In July 1909, polyuria and polyphagia were 

 manifest, but polydipsia did not occur until October 1909, when sugar was 

 found. The greatest quantity of urine reported was 4,000 c.c. in October 1909. 

 Weakness, vertigo, palpitation, failing eyesight, insomnia, and indigestion were 

 the chief symptoms. On March 8 to 9, 1910, the quantity of sugar amounted 

 to 115 grams in 24 hours. With a fairly rigid diet the patient did not become 

 sugar-free, and, indeed, bore the restriction of diet very poorly. Pneumonia is 

 said to have developed upon February 3, 1911; the patient failed rapidly and 

 death occurred February 6, 1911. 



Physical examination. Greatest weight without clothing, 63.5 kilos. 

 Weight without clothing March 7, 1910, 58.3 kilos. Height 173 cm. Tour de 

 taille 72.5 cm. Pupils equal and reacted to light. Knee-jerks normal. No 

 edema of the extremities. Tongue and teeth normal. No cervical, right axil- 

 lary, or inguinal gland. A left axillary gland. Pulse-rate 76, regular. Blood- 

 pressure 100. Heart and lungs not abnormal. Abdomen, nothing abnormal 

 felt. 



Urine data. The urinary record is given in table 93. Throughout the 

 observations the urine was acid in reaction. No albumen was present, except 

 on March 27 and 28, when there was a very slight trace. Diacetic acid was 

 also absent, except on March 8-9, and a very slight trace on March 28. 



Table 93. Clinical chart Case V. 



'Amounts only approximate. 



2From 6 to ll h 15 m a.m., Mar. 22. 12-hour record. 



