CLINICAL EXAMINATION. 357 



CLINICAL EXAMINATION. 



A preliminary medical examination of all but one of the men in 

 Squad A was made by Dr. Walter H. Chapin, of Springfield, in 

 October, 1917. The results of these examinations are given in the 

 personal histories (see pp. 47 to 53). In addition, arrangements 

 were made with Dr. H. W. Goodall, of Boston, to give the men a 

 complete clinical examination every time they came to Boston for the 

 biweekly experiments in the group respiration chamber. In these ex- 

 aminations of Dr. Goodall particular attention was given to blood 

 pressure. The results of these determinations will be considered in 

 another section. (See p. 370.) Dr. Goodall went over each man with 

 characteristic care, which is particularly exemplified by his method in 

 examining the subject of the long fast in the Nutrition Laboratory.^ 

 The members of Squad A were first seen by Dr. Goodall on October 

 13, 1917. His report, aside from blood-pressure observations, for each 

 subject follows: 



DETAILS OF CLINICAL EXAMINATION. 



Bro. — October 13, 1917, entirely negative, with exception of slightly en- 

 larged tonsils and very small cervical glands. During the period of observa- 

 tion no change noted in general appearance, skin, mouth and contained 

 organs, glands, reflexes, chest, or lungs, percussion outline of heart, or size of 

 liver. Nothing remarkable noted in physical condition of abdominal organs. 

 On February 2, 1918, right kidney felt for first time. 



Can. — October 13, 1917, negative, with exception of slightly enlarged 

 tonsils. Slight changes noted in percussion outline of heart area as follows: 

 October 13, left border of cardiac dulness 11 cm. from median line, right, 

 2.5 cm.; October 27, left border, 11 cm., right border, 2 cm.; November 10, 

 left border, 10 cm. , right border 2 cm. ; same on all following examinations. 

 No change noted in abdominal organs except that on November 10, right 

 kidney palpable for first time; felt at each subsequent examination. 



Fre. — October 13, 1917, negative, except for very small cervical glands. 

 Heart: Left border cardiac dulness 6.5 cm. from median line, right border, 

 1.5 cm. Seen only once. 



Gar. — October 13, 1917, entirely negative, with exception of slightly en- 

 larged tonsils. During period of observation no change noted in general 

 appearance, skin, mouth and contained organs, glands, reflexes, chest, or 

 lungs. Slight changes noted in percussion outline of heart as follows: October 

 13, left border of cardiac dulness 10 cm., right border 3 cm. from median line; 

 October 27, left border 10 cm., right border 2 cm.; in all subsequent examina- 

 tions left border, 9 cm., right border, 2 cm. No change noted in abdominal 

 organs, except that on November 10 right kidney was just palpable and at 

 all subsequent examinations. 



Gul. — October 13, 1917, entirely negative, except for slightly enlarged 

 tonsils and small cervical glands. During period of observation no change 

 noted in general appearance, skin, mouth and contained organs, glands, re- 

 flexes, chest, and lungs. No change noted in percussion outline of heart or 

 abdominal organs. Kidney not felt at any examination. 



Mon. — October 13, 1917, entirely negative, with exception of slightly 

 enlarged tonsils and small axillary glands. During period of observation 



1 Benedict, Carnegie Inst. Wash. Pub. No. 203, 1915, p. 53. 



