Manual for nutrition surveys / Interdepartmental Committee on Nutrition for National Defense.
- United States. Interdepartmental Committee on Nutrition for National Defense
- Date:
- 1957
Licence: Public Domain Mark
Credit: Manual for nutrition surveys / Interdepartmental Committee on Nutrition for National Defense. Source: Wellcome Collection.
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![84 03 62 $0 79 We HS 116117 7 4 2 i] SERUM VIT. C N8 119420124 7 4 2 1 SERUM VIT_A 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 1 7 4 2 1 7 4 2 1 if 4 2 1 THIAMINE RIBOFLAVIN NICOTINAMIDE OTHER SKIN - GENERAL D Follicular Keratosis O Grade | O Grade |! CO Areas of Follicular Keratosis 2 Arms b LD Back c () Thighs d (1) Chest e (] Buttocks LD Perifolliculosis (OD Dry or Scaling (Xerosis) C Crackled Skin OO Acneform Eruption OD Scrotal Dermatitis L Thickened Pressure Points (C2 Purpura or Petechia (CD Hyperpigmentation CH Pellagrous Lesions ABDOMEN z| 83 [)Hepatomegalia : 84 {| Splenomegalia *| 85 = Ascites LOWER EXTREMITIES 86 (Bilateral Edema 87 [_) Vibratory Sensation Absent (128 only) C Absent Great Toe OR fale (J Absent Malleoli TR ene LD Absent Mid Tibia R L 88 () Loss of Ankle Jerk CUR ceie 83 (| Calf Tenderness OD Slight Moderate ( Severe : 90 (Loss of Knee Jerk OR eae 2] 91 (1 Plantar Dysesthesia rs £| 92 -(] Motor Weakness 93 [) Position Sense Toes Impaired SKELETAL 94 [J Harrison's Groove (D Knock Knees CL Bowlegs z 95 —_(_) Winged Scapula S| REMARKS: z 96 EXAMINE 100 101 102-105 106-109 110-113 114-117 118-121 122-125 126-129 130-133 134-137 138 139 140 CARDIOVASCULAR BP: (> 150/100) O {) Murmur SKIN THICKNESS. ARM. R'S INITIALS: (Blood Sample # (Urine Sample # BLOOD ANALYSIS Total Serum Protein mine CHES x eee mm ABDOMEN. semm (97-99) (gm /100 ml) Hemoglobin (gm /100 m!) Hematocrit (B) MCHC = Hemant x100 @) Serum Vitamin C (mg/100 ml) i Lie Serum Vitamin A Serum Carotene (mcg /100 ml) Thiamine (meg /100 ml) Riboflavin N’-Meihylnicotinamide Creatinine Urine Volume. ml Time of Sample hrs OTHER O O () PHOTOGRAPH 57-60 61-64 65-68 69-72 | 1 | i 1 = \ TRN NS ARM seb | SNS ed. | PCY [iMcre | c A pve EXCRETION](https://iiif.wellcomecollection.org/image/b32172783_0035.jp2/full/800%2C/0/default.jpg)
