. International record of medicine . te. His eye-sight is perfect, as he never has requiredglasses. Xo member of his family hasever had a similar complaint. No neu-rotic history in the family. Phi/sicdl Exiinihiatlon.—The patientis short and stout. Weighs about onehundred and forty pounds, is four feeteleven inches in height. Head is large,block-shaped, decidedly flat-topped ; hair dark, becoming very sparse, particularly over occijint. Hasa dull and stupid expression; nose retracted at its root;whole face waxy and decidedly puffy. Skin thickened butfeels very .soft: does not pit on i>rolon


. International record of medicine . te. His eye-sight is perfect, as he never has requiredglasses. Xo member of his family hasever had a similar complaint. No neu-rotic history in the family. Phi/sicdl Exiinihiatlon.—The patientis short and stout. Weighs about onehundred and forty pounds, is four feeteleven inches in height. Head is large,block-shaped, decidedly flat-topped ; hair dark, becoming very sparse, particularly over occijint. Hasa dull and stupid expression; nose retracted at its root;whole face waxy and decidedly puffy. Skin thickened butfeels very .soft: does not pit on i>rolonged pressure. Quite agood-sized spot of livid congestion over both malar large, infiltrated, and wax-like; eyelids very puffy andbaggy, upper one especially so, and overhanging the eye and ob- * Read by title before the Medical Society of the of New its eighty-sixth annual meeting. scuring the superior i|uadraut of theand present srvcral transver-e folds. dol)e. Lower lids waxySkin is dry and rough. without scaliness. Nose rather broadened, particularly itslower portion. Naso-labial folds on either side markedly ac-centuated, riding directly up to bridge of the nose. Eyelashes


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186