File:Nervous and mental diseases (1919) (14595053159).jpg

Identifier: nervousmentaldis00chu (find matches)
Title: Nervous and mental diseases
Year: 1919 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system Mental illness
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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tic increase around the heel and along the outer border of the foot. The thorax usually presents an anteroposterior spinal curvature in thecervicodorsal region, which may be compensated by lumbar lordosis andattended by scoliotic twists. The clavicles are almost invariably in-creased in thickness and sometimes in length, and the sternum may alsoshare in the hypertrophy. The ribs and cartilages are often enlarged.These bony changes give the chest an unusual breadth and antero-posterior depth. The respiration is ordinarily abdominal in character, 512 NEUROSES. and the abdomen is often protuberant or even pendulous. The pelvicgirdle may be enlarged. The external genitalia in women are ordinarily hypertrophied, theuterus atrophic. In men there may be hypertrophy or atrophy of theexternal genitals. Amenorrhea and sterility are the rule with women,sexual inappetence and impotence with men. Cephalalgia of an intense, persistent, deep-seated character is presentin the great majority of cases.
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Fig. 214.—1 and 2, Hand in acromegalia; 3, foot in acromegalia. Speech is frequently thickened from the clumsiness and voluminoussize of the tongue, and the voice is ordinarily very deep, strong, andrough, owing to the enlargement of the larynx, which to palpation mayappear of increased dimensions and unusual prominence. The oi^gans of special sense may all be affected. Smell, taste, or hearingmay be reduced or abolished, but this is uncommon. Vision, however,is usually more or less affected eventually. This may arise from opticneuritis or from atrophy, and in either case points to encephalic tumor.Amblyopia, blindness, intra-ocular pains, exophthalmos, contraction ofthe visual field, unilateral, homonymous, and bitemporal hemianopsia, andmiosis have been noted. The bilateral loss of the temporal fields or theirmanifest reduction indicates injury to the chiasm by the pituitary tumor. The muscular systeftn may be normal or some atrophy may be found,but general muscular weakness is th

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