Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . inction to otherforms of gout is a misnomer. The paroxysmal attacks calledacute gout are incidents occurring in the course of the chronicdisease, and cannot be considered an entity apart from thechronic condition any more than could the symptom-complexknown as cardiac asthma, occurring after exertion in cardiacdilatation, be called a separate disease. Gout rarely begins withan acute attack. Premonitory symptoms showing the existenceof a gouty cond
Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . inction to otherforms of gout is a misnomer. The paroxysmal attacks calledacute gout are incidents occurring in the course of the chronicdisease, and cannot be considered an entity apart from thechronic condition any more than could the symptom-complexknown as cardiac asthma, occurring after exertion in cardiacdilatation, be called a separate disease. Gout rarely begins withan acute attack. Premonitory symptoms showing the existenceof a gouty condition usually appear days, weeks or months beforethe acute attack and there is almost always some discoverablecause for it. What is usually described as acute gout will betreated here as an acute attack of regular gout. Irregular orextra-articular gout, or goutiness, is applied to a number of ill-defined pathological lesions or functional perversions found inpersons having a gouty diathesis. With the increase of gouti-ness there is an increasing tendency to ascribe to it any patho-logical condition for which no other etiological factor can be. Pagets Disease. Nouvelle Iconographie dela Salpetriere, May-June, 1905. gout 355 discovered. This variety of gout presents an acute phase, theretrocedent gout which immediately follows the acute attack ofregular gout. Symptoms.—In some cases of regular gout there are nomarked symptoms until the onset of the acute attack, in othercases there are prodromal symptoms appearing a few daysbefore the attack, while in some there are various functionalimpairments with occasional twinges in the small joints forweeks or months before an attack occurs. Between the at-tacks, the patient may feel in perfect health, or there may befunctional impairments (which will be described under IrregularGout) or twinges in the affected joints. Usually the patientdoes not notice the prodromal symptoms of the first attack,headache, loss of appetite, malaise and li
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Keywords: ., bookcentury1900, bookdecade1910, bookidger, booksubjectgeriatrics
