828 



FRANCIS H. McCRUDDEN 



TABLE 15 

 METABOLISM OF A CRETIN DWARF (M. S.) 



result of careful dietetic therapy, the general nutritive condition of F. S.y 

 which at the time of the metabolism observation reported in Table 11 was 

 poor, became very much improved, and a second metabolism observation 

 was made. 



At the time of the first observation, the patient was a puny little 

 child, weighing only 13.6 kilos, and so weak that he lifted his feet with 

 difficulty in walking, had very poor muscular control, and when lying on 

 his back was unable to lift his trunk to the sitting position by the contrac- 

 tion oi his abdominal muscles. The stools were large and very offensive 

 in odor, and only the very smallest quantities of food could be given with- 

 out causing increased foulness. 



Half a year later the change was striking. The patient had become a 



