ETIOLOGY OF BERIBERI. 



327 



marked hyper?esthesia of the calf muscles; the pulse is 80 when 

 lying down and 88 on sitting up; the respirations are 24. On the 

 seventy-fourth day he was found to be suffering from severe 

 suprapubic pain and could not void urine. He was taken to the 

 prison hospital where he was catheterized. It was not necessary 

 to use the catheter after the second day in the hospital. From 

 the eightieth day on the patient was l)edridden. On the eighty- 



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fourth day the following note was made: Pulse 80; marked 

 epigastric pulsation; slight pulsation over the cardiac area; he 

 complains of pain in the calves of the legs which are very tender 

 on pressure; his gait is quite ataxic, the heart sounds are clear; 

 the first sound is somewhat prolonged, but there is no distinct 

 murmur; there is no foot nor wrist drop; the knee jerks are 

 absent. On the eighty-fifth day the note reads : Patient says he 

 feels no particular discomfort when lying down, but suffers from 



