A case of chronic pancreatic insufficiency without diabetes will be reported here, with special reference to the metabolism of nitrogen and fat. A discussion of other functional tests of the pancreas is included. The patient was one of Dr. L. F. Barker's in the medical clinic of the Johns Hopkins Hospital. This report falls under three general heads: (1) Clinical Course; (2) Metabolism Studies; (3) Other Functional Tests.
—Med. No. 24917. W. P. R., aged 34, attorney. Admitted Nov. 20, 1909, complaining of indigestion and diarrhea. The following history was obtained at that time.
—Negative. A long-lived healthy family.
—He had had the usual diseases of childhood, and diarrhea of varying severity from the age of 3 to 13 years, malaria at 22, "eczema" with painful pruritus of arms, legs and back, from the age of 25 to 30 years. There were occasional