system of

A system of practical medicine. By American authors. Vol. 5

Name: A system of practical medicine. By American authors. Vol. 5
Author: Pepper, William, 1843-1898 [Editor]; Starr, Louis, 1849-1925 [Editor]

作者：Pepper, William, 1843-1898 [Editor]; Starr, Louis, 1849-1925 [Editor]
体例：段　章数：185
字数：3,713,891　来源：Project Gutenberg

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HALLUCINATIONS.—By this term is designated the result of the
In studying cases of coma all the above-enumerated symptoms
(_j_) Delusional paræsthesiæ are such in which the patient (
(_d_) Gustatory Apparatus.—In this sense hyperæsthesia is cl
(_c_) Uncertainty in voluntary movements is sufficiently def
The complex lesions of joints observed in the course of post
(_c_) As to dyscrasic and hæmic conditions: uræmia, lithæmia
[Illustration: FIG. 6. Diagram of a Transverse Section of th
(_b_) A systematic lesion affects the nuclei (origins) of th
Before leaving the subject of the composition of the kinesod
(_d_) In the very rare cases in which paralytic phenomena ar
THE CLASSIFICATION OF MENTAL DISEASES.—There is no universal
The proportion of the enumerated insane in asylums was—Distr
A relation between pulmonary consumption and mental disease
Prolonged stupor, profound incoherence, loss of memory, and
As Maudsley says, squalor in an attic with liberty is better
From the creature of deformed limbs and ape-like movements,
IMPULSIVE INSANITY is perhaps more properly called instincti
The states of mental defect and degeneration, except in the
Placing the patient in an entirely healthy atmosphere is nex
The verbigeration, when it exists, and the expression of del
SENILE INSANITY arises in suspicions and a generally deluded
{180} The pianist loses his skilled touch; the actor fails t
These muscular defects and mental inefficiencies, when sligh
PATHOLOGY AND MORBID ANATOMY.[25]—General paralysis of the i
SECONDARY DELUSIONAL INSANITY is slowly developed from vario
Seguin[22] adopts with some reservation Brown-Séquard's hypo
Dr. Guiteras, formerly physician to the Philadelphia Hospita
Hecker in the edition of his work referred to has also a tre
A remarkable case of hysterical motor paralysis was observed
Several cases of hysterical double ptosis have come under my
Hysterical dysphagia, which is usually spasmodic, is sometim
In hysterical women the pulse is apt to be rapid, even somet
Seguin[102] holds that (1) many hysterical symptoms may occu
Buzzard[108] gives two diagrams (Figs. 16 and 17), which I h
Wunderlich[112] has recorded the case of a servant-girl, age
Massage should often be combined with the Swedish movement c
Graily Hewitt[132] reports a case of hysterical vomiting of
On several occasions I had the opportunity of watching every
In a few moments an epileptoid paroxysm ensued. She became u
Strong faradic currents, applied with metallic electrodes to
[Footnote 6: “De la Catalepsie”—Mémoire couronné par l'Acadé
Occasionally, cases of unilateral catalepsy associated with
The phenomena shown by both of these patients are those whic
Gibbon[1] has well described the occurrence of ecstasy in th
He says that most cases of functional morbid somnolence are
SYMPTOMS.—The onset of neurasthenia is always gradual, altho
The length of time the patient is to be kept in bed and trea
The space allotted to this article will not admit a full dis
The somnambulic state may be directly induced by fixed atten
A singular disorder, characterized by daily paroxysms of som
There is a form of coup de soleil in which death results alm
Formerly, venesection was largely practised in sunstroke, wi
SYNONYMS.—Hemicrania, Sick headache.
TREATMENT.—The treatment of migraine must be directed to the
In other cases, owing to over-feeding or any of the numerous
Optic vertigo, if essentially that, is rarely discovered wit
The gait of the patient now becomes very striking. He gets u
On May 18 the rheumatism was so much better that the salicyl
Ogle[28] in a report of 96 cases of chorea mentions 16 which
Condition on examination Aug. 14, 1884: General health good,
HISTORY.—There is probably no nervous disease which has been
{475} PRODROMATA.—There are various minor disturbances of se
Unilateral epilepsies are quite apt to leave behind them a s
The experiments of many of the early writers were directed f
The consideration of hysterical epilepsy may be found elsewh
Certain intractable cases are helped by surgical procedure,
[Footnote 13: F. T. Mills, M.D., “On Two Cases of Neuritis o
New methods of holding the pen are as constant in this form
Case III.—T. L——, æt. 45. In 1880, three years ago, patient
It has been stated, and quite generally believed, that the s
—— ——, æt. 36. Paternal uncle had a somewhat similar trouble
The so-called humoral theory would find the exciting cause o
{554} Recovery is usually slow. Even in the non-traumatic ca
As there is here, apparently, recovery in 34.5 per cent. of
Ferrier distinguishes just adjacent to this centre the motor
HISTORY.—The history of the abuse of alcohol would be the hi
The local action of alcohol upon organic tissues depends upo
Muscular movements are irregular and uncertain, the gait vac
But this idiosyncrasy is by no means always an inherited one
The Intestines.—Lesions of the small intestine due to alcoho
Pneumonia.—Habitual alcohol-drinkers are far more liable to
_a_. The Blood.—The alterations in the blood, although suffi
The paralytic form is usually associated with atrophy, affec
In the absence of pulmonary complications the respiration is
There are two forms of dipsomania—the essential and the symp
II. The Treatment of Chronic Alcoholism.—Whatever may be the
The decade of life at which the opium habit is most common i
Among women the morphine habit invariably produces derangeme
The skin undergoes nutritive disturbances of a marked kind.
Finally, the dissemination of a wholesome knowledge of the m
The Treatment of the Chloral Habit.—That which has been said
2. Lead Colic; Colica saturnina; Colique de plomb; Bleikolik
Measures aimed first at the separation of the lead from the
DURATION AND TERMINATION.—The disease pursues a slow but gen
Internal pachymeningitis is of two kinds: 1st, simple inflam
PATHOLOGICAL ANATOMY.—The chief points of interest in the mo
TREATMENT.—The indications for treatment are threefold: 1st,
Third Stage: No special symptoms mark the passage of the sec
[Footnote 12: “Tubercular Meningitis,” by Samuel Jones Gee,
In cases of moderate severity there may be few or no symptom
SYMPTOMS.—The onset of the disease is generally sudden, and
SYMPTOMATOLOGY.—Spina bifida forms a tumor—or, more rarely,
[Footnote 2: It has repeatedly happened during the past deca
The congestive states which follow traumatism and insolation
{777} With bilateral ligature[18] of the primary carotids—an
It was supposed by Abercrombie that an acute exacerbation of
[Footnote 38: Hammond, who classes many disorders under the
Between the rapid and violent course of acute cerebral absce
[Footnote 67: Although this fact has been questioned, I have
[Footnote 79: And even this sign is unavailable as a disting
Charcot claims that a restitution of anatomical continuity,
On July 23, 1884, shortly before mid-day, while lying on the
Either while the pains are first noticed or somewhat later o
While the symptoms thus far considered as marking the origin
I regard these observations as opposed to the assumption of
To discuss the nature of the disturbing influence which is r
It seems to be a prevalent opinion that the cases of syphili
Alcoholic ataxia is very rapid in its course, while tabic at
[Footnote 104: In 1869 and 1874 (_Leçons sur les Maladies de
Some writers discriminate between cases in which the lesions
MORBID ANATOMY.—In advanced cases of disseminated sclerosis
{888} CLINICAL HISTORY.—Impairment of motion is the most con
The crossed-pyramid tract diminishes as it passes caudad in
Erb does not recommend such powerful applications. But the m
In the light of modern physiology this is what might be expe
As soon as the acute symptoms pass away the patient should b
Durand-
Intellectual pursuits have been considered a disposing cause
One of the most significant signs is the conjugate deviation
These signs of arterial disease must be considered as of the
It is much more common for the embolus or thrombus to give r
Post-paralytic chorea is an affection the nature of which is
The pathology of hemiplegia and apoplectiform attacks, often
TREATMENT, INCLUDING PROPHYLAXIS.—Cerebral Hemorrhage.—As th
It has for centuries been known that coagulation of the bloo
The most important point of all, however, is undoubtedly the
{997} ETIOLOGY.—Hypertrophy of the brain is sometimes congen
In the cases of chronic brain syphilis which have come under
It is very plain that such attacks as those just detailed ar
As a man having syphilis may have a disease which is not dir
Finally, there is a class of disease of the spinal cord in w
[Footnote 3: _Arch. Med._, viii. No. 1, August, 1882.]
Tumors of the cerebellum, pons, and medulla oblongata someti
The histology of tumors of the brain does not in the main di
Intracranial tumors must be diagnosticated from meningitis i
Tumors and other lesions of the occipital lobes have in the
TREATMENT.—The surgical treatment of tumors of the brain has
Clinical History: General headache, most marked in the occip
In the left occipital lobe; had reached and destroyed the co
Clinical History: Violent and continuous headache. Gradual l
Clinical History: Intense supraorbital neuralgia. Paralysis
In one case (31) an interesting observation was made of an a
With reference to tumors of the cauda equina, Erb[10] says t
Lower part of dorsal cord.
From lack of competent observation during the initial stage
Muscular atrophy occurs in the spinal paralysis of adults as
PARALYSIS OF THE ABDOMINAL MUSCLES.—Unilateral paralysis of
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{1144} The strongest objection to Leyden's theory is the abs
The prognosis cannot be the same for cases where everything
The Swedish movement cure consists in passive movements impa
INTRODUCTION.—This disease remained unnoticed until twenty y
The symptoms above described are those generally observed in
Prolonged and excessive activity or disuse of nerves causes
With regard to the trophic changes, as well as to the pain a
In the TREATMENT of neuritis the first indication is to get
The TREATMENT of peripheral anæsthesia must look, in the fir
The TREATMENT of peripheral facial paralysis must begin with
The functions and secretions of the visceral organs are apt
The pressure of new growths or of aneurisms is to be suspect
A striking instance of the effect of this treatment is seen
The TREATMENT of sciatica must vary with the probable cause
Vaso-dilators.—The action thus far considered has been wholl
PATHOGENESIS.—From this review of the physiology of the vaso
SYMPTOMS.—The disease begins suddenly in all cases, and the
The symptoms of destructive disease of the cervical sympathe
SYMPTOMS.—The disease begins gradually, and the nervous symp
Atmospheric and thermic influences as cause of neuralgia, 12
ECSTASY, 339
Insanity (see also _Mental Diseases_).
Nerves, inflammation of, 1189
Sclerosis of crossed pyramidal tracts as a cause of spastic
Trophic changes in injuries to peripheral nerves, 1183, 1187
Myocarditis, acute and chronic, iii. 604, 607