. Virginia medical semi-monthly . ightimprovement in her condition. Later, aboutFebruary, there were added to the above, mu-tism, indifference, untidiness, profound de* 1909.] THE VIRGINIA MEDICAL SEMI-MONTHLY. 301 pression, marked mental deterioration, alone;with increasing physical weakness, lossof armetite, diarrhea, etc. Beginning in Marciand covering the period up to her death, , examination and observation revealed thefollowing: General Physical.—Pulse 80 to 112; respir-ation 20 to 24; temperature varying from 97to 101 F.—for a while the morning tempera-ture being about 99, the a
. Virginia medical semi-monthly . ightimprovement in her condition. Later, aboutFebruary, there were added to the above, mu-tism, indifference, untidiness, profound de* 1909.] THE VIRGINIA MEDICAL SEMI-MONTHLY. 301 pression, marked mental deterioration, alone;with increasing physical weakness, lossof armetite, diarrhea, etc. Beginning in Marciand covering the period up to her death, , examination and observation revealed thefollowing: General Physical.—Pulse 80 to 112; respir-ation 20 to 24; temperature varying from 97to 101 F.—for a while the morning tempera-ture being about 99, the afternoon about 100:blood pressure 112 mm., which is considerablybelow normal. Slight arterial sclerosis, mus-cles thin and in-elastic, rigidity being marked;arms flexed and rigid; legs drawn up. Coveringa considerable time the muscles of the back andneck were in a like condition, that is, tense,resembling condition observed in cerebro-spinalmeningitis. There were progressive loss ofweight, emaciation, and general weakness and. Figure 2. Case 1. Pellagrous lesions on face, neck, hands,elbows, feet, etc. anemia; both inguinal and right epitrochlear(glands enlarged. There was dark discolora-tion on the bulbar conjunctiva; eyelids examination made by Dr. D. D. Willcox, of Petersburg, there was no abnormality exceptcontraction of pupils. Menstruation has been scanty and irregu-lar ; leucorrhea; incontinence of urine. Gastro-Intestinal—Persistent recurring diar-rhoea, beginning in spring, sometimes profuse;nausea; variable appetite; excessive thirst. Mouth.—Salivation, stomatitis, breath offen-sive odor; gums and buccal mucosa very red;tongue deep red, and besides had on the dorsumnear the end, two distinct black spots, three-eighths to five-eighths inches in size. The lowerlip drawn down, mouth being open apparentlyfrom the stiffness of the muscles of that region. Skin.—Involving the forehead, chin, lips,sides of face to the lower margin of the inferiormaxillary
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
