320 



STRONG AND CROWELL. 



systolic blood pressure was 85 millimeters Hg. On the ninetieth 

 day the note was made as follows: He has constantly com- 

 plained of pain all over the body and is perceptibly weaker ; the 

 legs are markedly oedematous; the knee jerks are present but 

 weak; there is slight pulsation visible over the cardiac area; no 

 murmurs are present; the second sounds are not accentuated; 

 there is no distinct change in the cardiac dulness. On the ninety- 

 fifth day the knee jerks could not be elicited; the pulse was 104; 

 otherwise his condition had changed little since the last note. 

 Red, unpolished rice was substituted on the ninety-seventh day 

 for the white polished rice, and dried codfish and potatoes were 

 added to the diet. It was necessary to make these changes, 

 on account of the complaints of the prisoner. On the ninety- 

 ninth day the pulse was 100. There was pulsation over the car- 

 diac area. The first sound was prolonged at the apex, but there 

 was no distinct murmur. The point of maximum impulse was 9 

 centimeters to the left of the median line, but there was no dis- 

 tinct increase in the area of cardiac dulness beyond the normal 

 limits. There was marked oedema and tenderness of the calves 





DAYS OF DIET 

 4 9 13 18 27 35 50 64 77 84 94 r05 



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