International Clinics: A Quarterly of Clinical Lectures

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J.B. Lippincott., 1916 - Clinical medicine
 

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Page iii - INTERNATIONAL CLINICS. A Quarterly of Illustrated Clinical Lectures and Especially Prepared Original Articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology, Ophthalmology, Otology, Rhinology, Laryngology, Hygiene, and Other Topics of Interest to Students and Practitioners.
Page 189 - The capacity to concentrate his thoughts is increasingly impaired even between the attacks. He is at times irritable. He has no bad habits, and apart from these attacks he is well and strong. He received a blow on the left side of the head as a boy, and there is still a dent in the left parietal region, upon which side the headache more often occurs. He has a large appetite, which he says he controls, but he eats meat thrice a day, although he says sparingly. The blood pressure is not raised, the...
Page 198 - ... a description of the psychopath by Dr. Parker: "In the psychiatric sense he is neither flesh nor fowl neither sane nor insane, and he is a dangerous individual at every stage. He is bright, responsive, reactive and in a varying degree adaptable for certain periods. He is antisocial either for brief periods or persistently.
Page 184 - Clinically also there v/ere 10 instances of cedema, probably either caused or favored by the renal condition (four of these 10 cases showed cardiac disease also). Clinical records show 19 instances of seizures or convulsions of some sort, but it is not clear how many of these can be regarded as renal. Clinical records also indicate that 23 of the 100 cases were regarded in life as more or less severe cardiac cases. The most prominent gross lesion in the series was chronic interstitial nephritis,...
Page 198 - His mental operatives are slow or inaccurate; his reason and judgment are defective. The constitutional inferiors possess an unsatisfied craving for continual and unusual excitement, and in their impetuous endeavors to secure it they live on the borderline of insanity and criminality, over which they are swept back and forth by the force of tempting circumstances in which they often find themselves. In them the call of the Wanderlust is particularly strong ; they travel from place to place, and the...
Page 183 - ... present series of 100 no instance of normal kidneys was found. 4. It is less possible to say that these renal conditions were of moment to the individuals who bore them, since some of the lesions are very possibly extinct, and others cannot safely be interpreted in the present state of pathology. 5. Their interest from the therapeutic and dietetic standpoint is considerable, since there were at least 39 instances of acute renal disease, and 11 of these complicated by a background of chronic lesions.
Page 195 - ... prisoner was convicted of forgery. His crime was in direct harmony with his insane, expansive delusions and his utter lack of judgment. This man, in a silly, grotesque, and clumsy manner, raised a check from fifteen to one hundred and fifty dollars, and then, in a way quite becoming his mental disease, he asked the cashier of the bank if he had properly raised the check. And as a result of such inquiry of the bank official he was promptly placed under arrest, tried and convicted of forgery, and...
Page 189 - ... headache preceded by numbness and pricking in the fingers, followed by dizziness, mental confusion and foolish talk of paraphasic type, without loss of consciousness. These attacks...
Page 178 - Washington, he was in a dull condition from the narcotics he had been given for the journey. A history of rheumatism, with shooting pains and spasms in legs a girdle sensation, and treatment at Hot Springs was a suspicious feature of the case. Transient diplopia was still more suspicious, as were recurrent headache and loss of weight. Examination showed active deep reflexes, diminished cutaneous reflexes, speech slow, slurring and sometimes reduplicated, gross defects in the calculation tests ; but...
Page 190 - ... the usual treatment by restraint and depressant drugs in cases of the symptomatic psychoses, including alcoholism. Every general hospital should be provided with the facilities for treating properly cases of deliria. Such facilities should include isolation wards where quiet is not essential, and continuous bath apparatus for hydrotherapy.

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