300 



STRONG AND CROWELL. 



Following is a summary of the notes on the case: Individual 

 fairly well nourished; the examination of the lungs reveals 

 nothing abnormal ; the examination of the heart shows the area 

 of cardiac dulness is not increased beyond the normal limits; 

 the point of maximum impulse is not distinctly visible, but is 

 palpable 6.5 centimeters from the midsternal line and 0.75 cen- 

 timeter below the nipple line; the heart sounds are clear at the 

 apex and base; there is no visible epigastric pulsation; the 

 pulse is 108, and the systolic blood pressure 128 millimeters Hg 

 (Faught) ; the spleen and liver are apparently not enlarged; the 

 knee jerks are active. 



The patient lost 2.04 kilograms (4.5 pounds) during the first 

 two weeks of the experiment. After the substitution of the 

 extract of polishings for the polishings themselves mixed with the 

 rice, his weight remained about stationary, until about the sixty- 

 fourth day of the experiment, when he again lost slightly in 

 weight. His condition remained fairly good, however, and the 

 notes made in regard to him during this time were otherwise 

 unimportant. The knee jerks remained active. On the eighty- 

 fifth day of diet the systolic blood pressure was 90 millimeters 

 Hg. On the ninety-ninth day the following note was made: 

 The heart sounds are rapid but clear ; pulse, 114 ; no visible throb- 

 bing over cardiac area. There is no oedema of the legs and no 





DAYS or DIET 

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