Transactions of the Pathological Society of London, เล่มที่ 21

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Comprising the report of the proceedings for the session.
 

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หน้า 28 - He cannot read, but he knows his letters. He has an appreciation of music, and amuses the other patients by his singing, whistling, etc. Nervous System. — He sleeps well ; has no fits or cramps of any kind ; sight good ; ophthalmoscopic appearances normal ; hearing, taste, and smell good ; sensation appears to be very good all over the body, both painful, tactile, and thermic. It cannot be estimated with the compasses, because the boy, whether from laziness or any other motive, does not — or,...
หน้า xx - Assistant Physician to the Hospital for Consumption and Diseases of the Chest, Brompton ; Lecturer on Materia Medica at the Charing Cross School of Medicine and Assistant Physician to the Hospital Sm.
หน้า 27 - Head and neck. — The sterno-mastoid is rather wasted. The depressors of the os hyoides are capable of fairly vigorous action. It is doubtful whether there is anything abnormal with the trapezius, and the other muscles of that group; if anything, hypertrophied.
หน้า 26 - ... very apparent, and on feeling the part the extreme hardness of. the muscle is very striking. The lumbosacral curve is greatly exaggerated. The tensor vaginae femoris can be felt as a thick, hard, firm band under the skin. The flexors of the thighs are also much hypertrophied. The muscles of the calves are also very hard and very large. The extensor and peronei muscles on the outside of the tibia appear to share this hypertrophy. The foot is in a state of talipes equino-varus. The adductor muscles...
หน้า 24 - His head is unusually large. During the past two years he has not been well fed ; the family have only had meat once a week, and then a pound and a half divided among ten. Present condition. — He is utterly unable to stand. When put upon his legs they sprawl helplessly in every direction. He can sit up, but if he is gently pushed back he falls quite passively upon the floor, and can by no efforts raise himself.
หน้า 29 - Sp. gr. generally rather high ; acid ; no albumen, no sugar. Respirations, 18 per minute, taken minutely ; no cough or dyspnoea. Heart. — Cardiac dulness reaches above to third rib ; on the right to an inch beyond the sternum ; on the left to within half an inch of nipple; apex beat under fifth rib, one inch to right of nipple, 88 per minute. Impulse normal. Sounds sharp and clearly defined, somewhat exaggerated. No murmur or thrill of any kind. Temperature, taken at different times, always normal....
หน้า 299 - At first small gray specks or elevated gray spots (glanders-nodules), varying in size from that of a pin's head to that of a pea, make their appearance (Fig.
หน้า 26 - Muscular system; lower extremities. — The muscles supplied by the gluteal and great sciatic nerves are immensely hypertrophied. On looking at the boy the prominence of his gluteal region is very apparent, and on feeling the part the extreme hardness of the muscle is very striking. The lumbo-sacral curve is greatly exaggerated. The tensor vaginae femoris can be felt as a thick, hard, firm band under the skin. The flexors of the thighs are also much hypertrophied. The muscles of the calves are also...
หน้า 162 - they are remarkable for the minuteness of the ulcers, which are little more than haemorrhagic erosions, but also for the absence of the usual symptoms of ulceration of the stomach. Neither of the patients had suffered from vomiting prior to the occurrence of the haemorrhage.s Chiari30 in 1882 described a similar case.
หน้า xxiv - BM LOND. Surgeon to the Great Northern Hospital ; Surgeon to the Royal South London Ophthalmic Hospital. I.

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