328 STRONG AND CROWELL. 



discomfort in the chest and pains in the legs on getting up. 

 Systolic blood pressure 95 millimeters Hg. Eighty-seventh day, 

 pulse 72 ; still marked tenderness of calves and general weakness. 

 No prsecordial but slight epigastric pulsation. On the ninetieth 

 day, pulse 84, respirations 24. Complains of much pain in the 

 legs. He suffers from weakness and can no longer walk by him- 

 self. The knee jerks are absent. For the next few days the 

 patient remained in about the same condition, but grew slightly 

 weaker. On the ninety-seventh day the diet was discontinued. 

 At this time he could just stand and was very weak. Pulse 80. 

 Slight foot drop was present. This man evidently suffered from 

 beriberi. During the last three weeks of the experiment the 

 urine was examined each day and was always found to be 

 greatly decreased in amount. Frequently the daily output was 

 less than 500 cubic centimeters. It never contained albumin nor 

 casts. 



CASE NO. 12 (GROUP II ) . 



Diet: White polished rice 108 days, together with the special diet common 



to all the groups. 

 Dried codfish and potatoes were added to the diet on the 97th day. 



Following is a summary of the notes of the case : Fairly well- 

 nourished man; percussion and auscultation of the lungs show 

 nothing abnormal; examination of the heart shows no increase 

 in the area of cardiac dulness; the point of maximum impulse 

 is invisible ; it is palpable 8 centimeters to the left of the median 

 line and 2.5 centimeters below the nipple line; the heart sounds 

 are clear at the apex and base ; the pulse is 88, and the systolic 

 blood pressure 118 millimeters Hg (Faught) ; there is no epi- 

 gastric pulsation; the liver and spleen are not palpable, and the 

 liver dulness is not increased upward; the knee jerks are active. 



The patient lost weight steadily up to the seventy-seventh day 

 of the experiment. The knee jerks were active during this time. 

 The earlier notes are otherwise unimportant, except that on the 

 seventy-fourth day he complained of headache, dizziness, and 

 marked weakness. The pulse was 110, and both knee jerks were 

 found to be very weak. The apex beat of the heart was now pal- 

 pable in the nipple line. The heart sounds were normally spaced, 

 and there were no murmurs. The cardiac dulness was not 

 distinctly changed. The patient remained in bed and ate no din- 

 ner nor supper. The following three days he stayed for the most 

 of the time in bed, eating but little, but on the seventy-seventh 

 day he was up and began to eat better. The knee jerks were 

 active. On the eighty-fifth day the systolic blood pressure was 



