History.
—The patient, M. H., aged 18, single, was a clerk. His uncle died of lung trouble over thirty years before. The patient was never very strong, but considered himself healthy. He had had a cough for five winters, and steadily for a year past. The cough was worse since an attack of the grip six months before the patient was seen by me. He had typhoid for eleven weeks two years before he was seen. He was seen for the first time May 5, 1908. His chief complaint was anorexia. He had cough, expectoration (2 ounces), moderate dyspnea, occasional palpitation of heart, no hemoptysis or night sweats.
Examination.
—His weight was 133 pounds (138 a year previously), his height 5 feet 11 inches. (He had grown one foot in five years). His temperature was 100.5, pulse 104, respirations 10 to 12. He appeared a little childish for his age,