File:Maryland medical journal (1902) (14780521294).jpg

Identifier: marylandmedicalj4519medi (find matches)
Title: Maryland medical journal
Year: 1902 (1900s)
Authors: Medical and Chirurgical Faculty of the State of Maryland
Subjects: Medicine
Publisher: Baltimore : Manning and Ashby
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Text Appearing Before Image:
igate thecase closely. The patient has a well-nourished look. Pupilsreact normally. Eyes bright. Sclerotics show a pearly tint;arcus seniHs. Face puffed. He looks prematurely old. Hairand beard quite gray. Upper teeth absent, eight lower front teethremaining. Gums tumid and ugly-looking, bleeding on pressure,and foul in condition. Teeth much worn. Soft palate goldenyellow in hue. Thorax well shaped; lower submammary re-gions bulged. Physical signs negative. Liver—dullness nor-mal. Abdomen full and sHghtly resonant. Spleen not palpable.Patient lies on back, with decided foot-and-wrist drop, unableto move limbs but slightly. Arms and legs swollen. Skin mark-edly hyperesthetic. Atrophy of muscles of forearm and thighs.Shins clean. Patellar reflexes absent, and his bladder irritable,and he was able to hold his water but for a short time, waterdribbUng away. His general appearance is the most striking.He resembles a mulatto in color, though claiming to have had ADDISONS DISEASE—RoRiNs.
Text Appearing After Image:
43^ MARYLAND MEDICAL JOURNAL OCT.. 1902 originally a very fair complexion. Whole body is discolored,and on the back and parts where clothes constrict shows a lightmahogany tint. Anterior surfaces of arms and legs showedgreat discoloration, color being a muddy brown. Scrotum verydark. Body has a deeper tint than face. Posterior surfacesdeeper than anterior. Blood-count, June 23, 1902: Red-blopd cells, 4.546,875;white-blood cells, 11,200; hemaglobin, 90 per cent. Differential count: Polymorphonuclear, 69 per cent.; transi-tional, I per cent.; small mononuclear, 21 per cent.; large mono-nuclear, 7 per cent.; eosinophiles, 2 per cent. Stomach contents showed: Total acidity, 8; free HCi, ab-sent; lactic acid, present; yeast fungi, present; starch granules,present; bacteria, present. Urine showed the presence of albumen, but no sugar. Casts ofall varieties present in abundance. I felt that arsenic as a causative factor in the skin discolora-tion could be thrown out, since he had the melasma

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