358 VITALITY AND EFFICIENCY WITH RESTRICTED DIET. 



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

 glands, reflexes, chest, and lungs. A slight change noted in percussion out- 

 line of heart: October 13, 1917, left border of cardiac dulness 11 cm. and right 

 border 1.5 cm. from median hne; October 27, left border 10.5 cm., right border 

 2 cm.; November 10, left border 9 cm., right border 2 cm., and the same in 

 subsequent examinations. October 13 and 27, edge of Uver felt indistinctly; 

 not felt at any subsequlent examination. Right kidney just palpable through- 

 out entire period; otherwise no change in abdominal organs noted. 



Moy. — October 13, 1917, entirely negative, except that cervical and 

 axillary glands small. During period of observation no change noted in 

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

 and lungs. No change noted in percussion outUne of heart or in abdominal 

 organs. Right kidney just palpable on February 2. 



Pea. — October 13, 1917, entirely negative, except for shghtly enlarged 

 tonsils. During period of observation no change noted in general appear- 

 ance, skin, mouth and contained organs, glands, reflexes, chest, and lungs. 

 No change in percussion outline of heart or in abdominal organs, except that 

 the liver was just felt with deep inspiration on January 12; subsequent to 

 that date it could not be palpated. Right kidney was palpable for first time 

 on November 10 and in all subsequent examinations. 



Pec. — October 13, 1917, entirely negative, except that axillary and epitroch- 

 lear glands were small and there was a slight thickening of radial arteries. 

 During period of observation no change noted in genera,l appearance, skin, 

 mouth and contained organs, glands, reflexes, chest, and lungs. No change 

 in percussion outhne of heart or in abdominal organs. Kidney not felt. 



S'pe. — October 13, 1917, entirely negative, except that the tonsils were 

 slightly enlarged and cervical and axillary glands were small. During period 

 of observation no change noted in general appearance, skin, mouth and 

 contained organs, glands, reflexes, chest, and lungs. Heart: Left border of 

 cardiac dulness October 13, 10 cm. from median line, right border 1.5 cm.; 

 October 27, left border 9.5 cm., right border 2 cm.; November 10, left border 

 8 cm., right border 2 cm., and the same on all following examinations; last 

 examination, December 8. No change noted in abdominal organs. Kidney 

 not palpable. 



Tom. — October 13, 1917, entirely negative, except for shghtly enlarged 

 tonsils; pharynx reddened and axillary glands small. During period of 

 observation no change noted in general appearance, skin, mouth and con- 

 tained organs, glands, reflexes, chest, and lungs; no change in percussion out- 

 line of heart or abdominal organs. Kidney not palpable. 



Vea. — October 13, 1917, entirely negative, except for small cervical glands. 

 During period of observation no change noted in general appearance, skin, 

 mouth, and contained organs, glands, reflexes, chest, and lungs; no change 

 in percussion outline of heart or abdominal organs except that right kidney 

 was just palpable on February 2. 



Kon. — October 27, 1917, entirely negative, except for shghtly enlarged 

 tonsils. During period of observation no change noted in general appear- 

 ance, skin, mouth and contained organs, glands, reflexes, chest, and lungs. 

 A faint systolic murmur over the base of the heart heard throughout. Left 

 border of cardiac dulness October 27, 10 cm. from median hne, right border 

 2.5 cm.; November 10 and 24, December 8 and 22, left border 10 cm., right 

 border 2 cm.; January 12, left border 10 cm., right border 1.5 cm.; January 

 26 and February 2, left border 9 cm., right border 2 cm. No change noted in. 

 abdominal organs except that right kidney was palpable after January 12. 



