Transactions . ered from occasional palpitation. She ishabitually constipated. No history of syphilitic urine is free from albumen. In the left eye I found an oval patch of blood in theregion of the Y. S., partly overlying a pearly-white exuda-tion, the continuity of the blood patch being interceptedby the white exudation both centrally and at its large scotoma occupied the centre of the field of vision;letters of 16 J. were distinguished with difficulty. The appearance of the retinal heemorrhage and thewhite exudation (even in the absence of the characteristicradiating
Transactions . ered from occasional palpitation. She ishabitually constipated. No history of syphilitic urine is free from albumen. In the left eye I found an oval patch of blood in theregion of the Y. S., partly overlying a pearly-white exuda-tion, the continuity of the blood patch being interceptedby the white exudation both centrally and at its large scotoma occupied the centre of the field of vision;letters of 16 J. were distinguished with difficulty. The appearance of the retinal heemorrhage and thewhite exudation (even in the absence of the characteristicradiating lines of white spots) suggested the possibility ofalbuminuria or kidney mischief. The urine, however, which 42 RETINA AND CHOROID. was several times tested, gave no indications of albumen,nor were there any other signs of disease of the Sansom kindly examined the heart, and gave it as hisopinion that there was no disease there nor any evidence ofaneurism ; but the sphygmographic tracing (see Figure). showed high tension of the aorta and arteries. Inthe absence of renal cause/ he writes, I shouldlook upon this as a case manifesting persistently hightension of the arteries from constitutional opinion was given on November 19th, after re-peated purgation for a week or ten days, and when theturgid and purple state of the lips had a good deal sub-sided. Probably the state of tension would have beenstill higher if the sphygmographic tracings had beentaken before the commencement of the purgatives. Thepain in the left side of the neck and shoulder continuedunabated at this date, and at Dr. Sansom^s suggestion Inow gave nitro-glycerine in minute doses three times aday, and after about a fortnights treatment she was com-pletely relieved of the shoulder pain. After having steadily continued the nitro-glycerine fortwo months the arterial tension was. Dr. Sansom thought,less than at first, though the sphygmograph still confirmsthe general tendency to high tension, a
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Keywords: ., bookcentury1800, bookdecade1880, bookpu, booksubjectophthalmology
