. The Canadian nurse. 10% glucose in water. 3. 50 cc. 5% glucose in saline. 4. 100 cc. 5% glucose in water. 5. 75 cc. Amigen Dextrose solution. The rate was 6—8 drops per drip was discontinued the next daybecause of the babys improved condi-tion. At this time, on reviewing the case, atentative diagnosis of galactosemia wasmade. A repeat urinalysis showed:Albumin—3 plus, sugar—2 plus. Thissugar was identified as galactose. GalactosemiaThis is a rare congenital disturbanceof galactose metabolism. Lactose, themilk sugar, breaks down into glucoseand galactose. The liver is unable tochan


. The Canadian nurse. 10% glucose in water. 3. 50 cc. 5% glucose in saline. 4. 100 cc. 5% glucose in water. 5. 75 cc. Amigen Dextrose solution. The rate was 6—8 drops per drip was discontinued the next daybecause of the babys improved condi-tion. At this time, on reviewing the case, atentative diagnosis of galactosemia wasmade. A repeat urinalysis showed:Albumin—3 plus, sugar—2 plus. Thissugar was identified as galactose. GalactosemiaThis is a rare congenital disturbanceof galactose metabolism. Lactose, themilk sugar, breaks down into glucoseand galactose. The liver is unable tochange galactose to glycogen. Thegalactose piles up in the blood streamand is excreted in the urine. The mainfeatures of our case were: 1. Marked weight loss and failure to gainsince birth. 2. Persistent jaundice since birth. 3. Enlarged liver. 4. Distended abdomen with prominent su-perficial veins. 5. Marked weakness and lethargy. 6. A positive test for sugar in the urine. Vol. 49. No. 3 GALACTOSEMIA Smart, extremely comforuble, long-wearing,Savage White Uniform Shoes are made oftop grade white elk over famous Hurlbutlasts. Theyre cool, light, Goodyear welted—and will stand up to a lot of standing up andwalking about. In moccasin and duty oxfords. THE SAVAGE SHOE COMPANY LIMITED • PRESTON, ONTARIO These babies frequently develop cata-racts and mental retardation, particular-ly if the diagnosis is too long has shown neither of these. When the diagnosis was establishedthe formula was changed to Nutrami-gen, a milk substitute. Its use is indi-cated in cases of allergy or the basis of SO calories per poundbody weight, the formula required 8tablespoonfuls in 18 oz. of water. Sup-plements of pablum, banana, purees,and meat were gradually added to thebaby^s diet. Mary did well on this andgained S oz. in six days. An eye specialist was called in con-sultation because of the persistence ofthe infection in the tear duct. His im-pression


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