Well nourished; lungs loud; broncho-vesicular]
breathing; subcrepitant and small mucus rales
over both apices, axilla, and upper lobes pos-
teriorly; heart not enlarged, sounds short; second
sound accentuated; short systolic murmur; blow-
ing, almost whistling in type, heard at apex;
transmitted to axilla, loud in the second left in-
terspace; urine negative; reflexes moderate; eyes
negative.

Well nourished; lungs loud; moist rales upper left
lobe; upper part of right upper lobe; slightly less
expansion on the left side; heart, no murmurs but
rapid (90); wrist jerks absent; knee jerks sluggish;
dilated pupils; apparently normal sight..

Heart rapid, not strong (100); lung rales both upper
lobes; breath sounds absent over the left apex:
poorly nourished; knee jerks diminished; wrist
jerks slight; pupils O. K.; conjunctive pale; corneal
injected.

None.

2814

G. M., P. M..

B.

Peculiar sick sensation in throat..

Imbecile.

None.

Good; slight dementia Poorly nourished; bromide acne; pale color; naso
pharyngeal catarrh; myodema; pulse 52; hem-
morhoids; dental caries; reflexes fairly active;
slight arcus senilis.