Abstract
Case 1. —A. N. C., a white merchant, aged 54, married, had negative family and previous medical histories. The patient has one daughter, who is healthy. He was first seen Feb. 23, 1913, complaining of pain in the cardiac and left hypochondriac regions and at times in the lower abdomen. His present trouble began one and one-half to two years previous and he had lost 20 pounds in the preceding six months. Physical Examination. —Skin and mucous membranes were pale; the thorax negative. The liver extended from the sixth rib to two finger breadths below the costal margin. The kidneys were not palpable. The spleen extended from the ninth rib to 1 inch above the iliac crest with sharp anterior border in the midclavicular line. The inguinal and axillary glands were palpable; no epitrochlear or postcervical glands could be felt. The musculature was flabby. Urine: 35 ounces in twenty-four hours,
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