ETIOLOGY OF BERIBERI. 



375 





DAYS OF DIET 

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beyond the normal limits; the point of maximum impulse is just 

 visible and palpable 7 centimeters to the left of the median line 

 and 2 centimeters below the nipple; the heart sounds are clear 

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

 the pulse is 72, and the systolic blood pressure 100 millimeters 

 Hg ; the liver and spleen are not palpable below the costal margin ; 

 the knee jerks are active. 



