Maryland medical journal . igate thecase closely. The patient has a well-nourished look. Pupilsreact normally. Eyes bright. Sclerotics show a pearly tint;arcus seniHs. Face puffed. He looks prematurely old. Hairand beard quite gray. Upper teeth absent, eight lower front teethremaining. Gums tumid and ugly-looking, bleeding on pressure,and foul in condition. Teeth much worn. Soft palate goldenyellow in hue. Thorax well shaped; lower submammary re-gions bulged. Physical signs negative. Liver—dullness nor-mal. Abdomen full and sHghtly resonant. Spleen not lies on back, with decid
Maryland medical journal . igate thecase closely. The patient has a well-nourished look. Pupilsreact normally. Eyes bright. Sclerotics show a pearly tint;arcus seniHs. Face puffed. He looks prematurely old. Hairand beard quite gray. Upper teeth absent, eight lower front teethremaining. Gums tumid and ugly-looking, bleeding on pressure,and foul in condition. Teeth much worn. Soft palate goldenyellow in hue. Thorax well shaped; lower submammary re-gions bulged. Physical signs negative. Liver—dullness nor-mal. Abdomen full and sHghtly resonant. Spleen not lies on back, with decided foot-and-wrist drop, unableto move limbs but slightly. Arms and legs swollen. Skin mark-edly hyperesthetic. Atrophy of muscles of forearm and clean. Patellar reflexes absent, and his bladder irritable,and he was able to hold his water but for a short time, waterdribbUng away. His general appearance is the most resembles a mulatto in color, though claiming to have had ADDISONS DISEASE— 43^ MARYLAND MEDICAL JOURNAL 1902 originally a very fair complexion. Whole body is discolored,and on the back and parts where clothes constrict shows a lightmahogany tint. Anterior surfaces of arms and legs showedgreat discoloration, color being a muddy brown. Scrotum verydark. Body has a deeper tint than face. Posterior surfacesdeeper than anterior. Blood-count, June 23, 1902: Red-blopd cells, ,875;white-blood cells, 11,200; hemaglobin, 90 per cent. Differential count: Polymorphonuclear, 69 per cent.; transi-tional, I per cent.; small mononuclear, 21 per cent.; large mono-nuclear, 7 per cent.; eosinophiles, 2 per cent. Stomach contents showed: Total acidity, 8; free HCi, ab-sent; lactic acid, present; yeast fungi, present; starch granules,present; bacteria, present. Urine showed the presence of albumen, but no sugar. Casts ofall varieties present in abundance. I felt that arsenic as a causative factor in the skin discolora-tion could be thrown ou
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicin, bookyear1902
