ETIOLOGY OF BERIBERI. 



377 



three days after resuming the regular prison ration he had lost 

 again 1.5 kilograms (3.5 pounds). 



CASE NO. 2!l (GROUP IV). 



Diet: White rice for 75 days, together with the special diet common to all 

 the groups. 



Following is a summary of the notes of the case: Sparely 

 nourished man, moderately small in stature; percussion of the 

 lungs reveals no area of dulness; on auscultation there is slight 





DAYS OF DIET 

 11 19 35 48 61 



112 



in 



a 

 z 



o UK 

 a 



z 

 t- 



O 110 



• 09 

 108 































\ 



/ 





M 





76*'' cfo 



V 



^ 



^ 



























N?29 















V • 







roughening of the breath sounds over the right lung posteriorly 

 near the base, but no tubular modification of the breath sounds 

 and no rales; the area of cardiac dulness is not increased; the 

 point of maximum impulse is neither visible nor palpable; there 

 is no visible epigastric pulsation; the pulse is 104, and the sys- 

 tolic blood pressure 118 millimeters Hg (Faught) ; the liver and 

 spleen are not enlarged ; the knee jerks are active. 



The earlier notes of the case are not important. The patient 

 did not lose in weight. On the fifty-sixth day he complained of 



