File:Virginia medical semi-monthly (1909) (14589345830).jpg

Identifier: virginiamedicals1419unse (find matches)
Title: Virginia medical semi-monthly
Year: 1910 (1910s)
Authors:
Subjects: Medicine
Publisher: Richmond, Va. : (L. B. Edwards)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ntly dark discoloration hasappeared over the malleoli of both feet, andover the olecranon processes. There is now be-ginning dry exfoliation, etc. The physical and mental examinations, re-peatedly made during the past several weeks, show the following additional symptoms: Cog-wheel respiration in upper lobe of ribt lung,rate of respiration, 16 to 24, pulse 90 to 120,temperature 99 to 101 F., blood pressure 115m.m., anemia, debility, but little emaciation,abdominal recti muscles somewhat tense, con-junctiva pale, headache. There is consstantgroaning and frowning, especially when movedas if in pain, disinclination to walk, as if suffering from dizziness, though she does not com-plain. Patellar reflexes are diminished. Examination of eyes by Dr. Wilcox showedonly pupillary contraction, though the pupilswere responsive to light. Eyes otherwise nor-mal in every respect. Mentally, there is mutism, indifference, andother indications of progressive dementia. Thepatient never smiles or laughs.
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figure •>. Case 6. fellHgrous lesions on nan is, neck, and feet. Case VI.—Rebecca M. (6888)—AdmittedJanuary 2!), 1909; color, brown; age 24, single,,no children, no regular occupation, habits im-moral, cause of insanity said to be poverty,duration of mental symptoms reported to haveexisted a few months. She was emaciated, 328 THE VIRGINIA MEDICAL SEMI-MONTHLY. (October 22, weak, cachectic, had anorexia, and presentedother evidences of lack of proper and sufficientnourishment. Besides, there were some darkspots and acne, causing a suspicion of syphilis-The mental symptoms were mutism, indiffer-ence, depression, never smiling, untidiness, andothers indicating dementia, probably dementiapnecox. By March the physical and mental symp-toms had shown further deterioration. Aboutthat time obstinate diarrhea, stomatitis, skinlesions, etc., developed—the latter involvingthe face, hands and feet, similar in nature tothose described in the other cases, except thatat one stage there wer

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