_Calories_ 8 A.M. 100 grams of milk with tea 100.0 30 grams of milk toast 130.0 10 A.M. 100 grams of baked trout 106.0 100 grams of milk 67.0 or 30 grams panopepton (57.5) 10 grams of butter 81.0 50 grams of toast 130.0 50 grams of sherry 60.0 12 M. Bouillon with 5 grams somatose 16.0 100 grams of chicken 106.0 or 100 grams squab (100) or 100 grams of calves' sweetbreads (90) or 100 grams of calves' brains (140) 60 grams of macaroni 212.0 or 100 grams of mashed potatoes (127) or 100 grams of spinach (166) or 100 grams of asparagus (18) 25 grams of stale wheat bread 65.0 4 P.M. 20 grams of toast 130.0 20 grams of butter 162.0 40 grams of caviar 52.0 7 P.M. 130 grams of milk (100) with 5 grams somatose (16) 116.0 100 grams of rice cooked in milk 177.0 50 grams of wheat bread 130.0 9 P.M. 30 grams of panopepton 57.5 ------ 2024.5 SUMMARY FACTORS INDUCING GASTRIC DISTURBANCES 1. ~Errors in Diet.~--Over-feeding, under-feeding, improper food, unbalanced diet. 2. ~Disturbed Secretory Processes.~-- (a) Over- or under-secretion of gastric juice. (b) An excess or deficiency of hydrochloric acid in the juices. 3. ~Impaired Motility and Tone of the Gastric Organ.~--The peristaltic waves and muscular contraction of the stomach walls becoming sluggish prevent the food mass from passing into the intestines at a normal rate of speed, thus giving rise to a fermentation of the food and a consequent dilatation of the organ from the gas thus produced. ~Other Factors.~--Lack of fresh air and exercise, indoor occupation, bad hygiene, unsanitary surroundings, heredity, certain diseases which are accompanied by gastric disorders. ~Diseases of Gastric Organ.~--Acute and Chronic Gastritis, Gastric-Ulceration, Gastric Cancer. ~Treatment.~--Tests--Test meals, X-Ray examinations (pictures and Fluoroscope). Patient is given no breakfast on day of test. In X-Ray laboratory a bismuth or barium meal is given, this meal consists of a pint of fluid, either buttermilk or malted milk, into which a certain amount of bismuth or barium chloride is mixed.