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PANCREATIC FERMENT DETERMINATION IN PULMONARY TUBERCULOSIS

ETHAN A. GRAY, M.D.; OLGA PICKMANN, M.D.
JAMA. 1915;LXV(15):1271-1273. doi:10.1001/jama.1915.02580150045013.
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Much attention has been given to the diet of the tuberculous. Quality and daily quantity have received consideration. Digestive disturbances, as expressed by anorexia, vomiting, dyspepsia (gastric distress), intestinal indigestion and diarrhea have long been recognized as forming parts of the general picture in tuberculosis.

In the absence of gross signs of digestive derangement, it is not unusual to see a patient eat well but fail to gain in weight. It is common to see a tuberculous patient refuse all food, especially when the system is under the influence of toxins; this may be in the early febrile period as well as in the terminal stage.

Again, we see patients with good appetites and high temperatures — far advanced patients, with no appetites and low temperatures.

Observing over 200 cases, we found that, as is well known, our patients preferred vegetables and starches; that they consumed foods of these types

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