302 



STRONG AND CROWELL. 



88. At 4 o'clock in the afternoon, pulse 80. He complained of 

 headache and of pains in the calves of his legs. On the eighty- 

 fourth day his pulse was 100, respirations 24. He complained 

 of marked pain in the calves of his legs and of tenderness on 

 pressure. The knee jerks were active. Epigastric pulsation 

 was visible. There was no throbbing over the cardiac area. 

 The examination of the heart showed no definite changes. On 

 the eighty-fifth day at noon the note made was as follows: He 

 complains chiefly of pain in the calves of the legs. Pulse, 96; 

 visible epigastric pulsation still present; the knee jerks are very 

 active; the systolic blood pressure is 95 millimeters. Eighty- 

 seventh day, still complains of pain in the abdomen, calves of 

 legs, and head. By the ninety-fifth day the voice had became 

 husky. On the ninety-seventh day he developed marked con- 

 junctivitis. Dried codfish and potatoes were added to the diet 

 on this day. On the ninety-ninth day the note shows that the 

 huskiness of the voice continued. The heart sounds remained 

 clear; there was no throbbing over the cardiac area and no 





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