Precocious Tertiary Syphilis.-A patient with syphilis which had not been systematically treated, fifteen months after infection began to exhibit tertiary manifestations which appeared in the following order: (1) Ulcer of the right leg (2) papular syphilide of the scalp (3) deep ulcerations of tonsils and posterior pharyngeal wall (4) stricture of the left nasal duct (5) ulcers on forehead (6) periostitis of nasal bones (7) gumma of nasal septum, suppuration and perforation (8) bursitis and synovitis (9) periostitis of heads of tibiae (10) gummata of right testicle (11) synarthrosis. Weight gains were satisfactory, but digestive disturbances were not uncommon.ģ. Patients seemed to do very well on this diet. During the autumn and winter of 19 the standard was protein, 166 grams fat, 214 grams carbohydrates, 323 grams calories, 3955. clerks, bookkeepers, tailors, students, etc., on moderate exercise (walking from one to three hours daily), 2600 to 3000 calories, of which not over 115 grams need be protein.ĥ.ğor women of this class not to exceed 2500 calories and 100 grams protein.Ħ.ğor older patients, a slight reduction in calorific value and a considerably lower protein constituent are desirable in each case.ħ.ğor the country dweller a somewhat larger bulk without increase in protein value is usually desirable, all other conditions being similar, than is the case with the patient from the city.ĭiets constructed on these standards in two divisions of the Loomis Sanatorium during the past year have proved more satisfactory than any which have been previously employed. Diet in Tuberculosis.-According to King, the following standards are applicable to ambulant cases of comparatively quiescent tuberculosis under sanatorium treatment:ġ.ğor young adult men of the working class on very light exercise from 2800 to 3200 calories, of which from 110 grams to 125 grams shall be protein.Ģ.ğor the same class on 5 or 6 hours vigorous exercise (sawing or chopping wood, working with shovels, pickaxes, barrows, etc.), from 3100 to 3600 calories, of which 125 grams to 140 grams shall be protein.ģ.ğor women of this class 200 calories and approximately 10 grams protein may be deducted in each case.Ĥ.ğour young adult men, whose occupation has been more sedentary-e. Greeley, Brooklyn.Ħ Mastoiditis, Complicated by Purulent Leptomeningitis,Įpidural Abscess, and Sinus Thrombosis. Abbott, Pasadena, Cal.ĥ Great Improvement in Advanced Cases of Pulmonary Tubercu. F.ģ »Precocious Tertiary Syphilis Case with Manifold Manifesta-Ĥ »The Care of the Nursing Breasts-Their Development During Medical Record, New Yorkġ ✼onstruction of an Efficient and Economic Diet in Tubercu-ĢĞarly Diagnosis of Malignant Disease of the Larynx. Titles marked with an asterisk (») are abstracted below.
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