James J. Waring 621 



protein 25 mg. per 100 cc.The Wassermann test on the spinal fluid was negative 

 and the colloidal gold cm^e normal. BMR —23. 



On 4-2-35 spinal fluid protein was 20, BMR +2. 



The glucose-tolerance curve on 3-5-35 was flat after 1.75 gm. glucose per 

 kilogram body weight. Fasting blood sugar was 62; at 1 hour, 84; at 2 hours, 

 60; at 4 hours, 70. 



On 3-4-35 the hemoglobin w^as 8.2 gm., the red cells 2,840,000. The patient 

 was given one transfusion of 500 cc. blood and thereafter continued to im- 

 prove and left the hospital 3-31-35 in good condition. 



TABLE 2 



Electrocardiograms 



2-4-35 Low voltage in 3 standard leads. T \\a\e practically isoelectric in lead I. Q-R-S up- 

 right in lead T. Q-R-S split in lead II. T uave upright in lead II. Q-R-S inverted in 

 lead III and T wave upright. Rate is 60. P-R .20 second. 

 2-6-35 LoAv voltage. Q-R-S upright in lead I with a low upright T u'a^■e. T wa\e low but 

 upright in lead II. Q-R-S inverted in lead III. T wave upright. Rate is 66. In general 

 the voltage of all Q-R-S complexes is less in this picture than in the preceding one. 

 P-R .16 second. BMR —40. 



2-22-35 Voltage is definitely improved but still low. Slight left axis deviation. T waves in 

 leads I and II more conspicuous than in previous leads. T wave isoelectric in lead 

 III. Rate is 74. BMR —23. P-R .24 second. 



7-22-35 Voltage of Q-R-S complexes improved in all leads hut P and T waves are still very 

 low in all leads. Rate is 46. P-R .25 second. Q-R-S3 inverted. BMR —41. 



10-4-35 Great improvement in voltage in all three leads with conspicuous upright T waves 

 in all leads. Occasional premature ventricular contraction. Rate is 66. BMR —2. 

 PR .20 second. 



3-20-36 Good voltage Q-R-S and T waves. P-R .20 second. T wave sinall but upright. Split 

 R3. Small Q3. Rate is 74. 



6-12-36 No change except for improvement in voltage of T waves. 



1-15-37 Voltage is good in all leads. Slight left axis deviation. Upright and conspicuous T 

 waves in all three leads. Slight elevation of S-T in lead II. Q-R-S in lead III is 

 W-shapcd PR .20 second. Rate is 72. BMR -Hi. 



5"iO"37 Rate is 60. Voltage good in all 3 leads. P-R .19 second. Split Q-R-S3. T waves are 

 upright, with good voltage. BMR —3. 



6-18-37 Voltage is definitely lower in all 3 leads. T wa\e is diphasic in lead I, upright in 

 lead II, and upright in lead III. Rate is 60. BMR —19. Q-R-S3 is split. 



7-16-37 Rate is 55. Voltage of Q-R-S in all 3 leads is lower. T wave is isoelectric in lead I, 

 low in II, fairly upright in III. BMR —25. 



8-13-37 R'lte is 50. Lower voltage of Q-R-S in all 3 leads. T wave practically isoelectric in 

 lead I, slightly upright in II and in III. P-R now .24 second. BMR —36. 



10-8-37 Marked improvement of voltage in all 3 leads. Q-R-S upright in all 3 leads. T waves 

 of good voltage and upright in all 3 leads. Slight splitting of the descending limb 

 of the R wave in lead III. Slight elevation of take-off of S-T in II. P-R .20 second. 

 Rate is still 60. BMR -11. 



1-10-39 Rate is 74. P-R .19 second. Voltage good in all 3 leads. BMR +2. 



