. Medical diagnosis for the student and practitioner. ur-ring under unexpected conditions may cause trouble. Prognosis.—The disease may indirectly cause a large mortality byweakening the childs resistance to other diseases, but there is no direct * The term is used throughout in its literal sense. f Included here for the sake of convenience rather than correctness of classification. Correct diag-nosis difficult. Bizarre andincoherentsymptoma-tology. Basic causeunknown. Epiphysealswellings. Cranio-tabesand bosses. Ricketyrosary andpigeonbreast. 1176 MEDICAL DIAGNOSIS Its very exis-tence doubtfu
. Medical diagnosis for the student and practitioner. ur-ring under unexpected conditions may cause trouble. Prognosis.—The disease may indirectly cause a large mortality byweakening the childs resistance to other diseases, but there is no direct * The term is used throughout in its literal sense. f Included here for the sake of convenience rather than correctness of classification. Correct diag-nosis difficult. Bizarre andincoherentsymptoma-tology. Basic causeunknown. Epiphysealswellings. Cranio-tabesand bosses. Ricketyrosary andpigeonbreast. 1176 MEDICAL DIAGNOSIS Its very exis-tence doubtful. A melange ofsymptoms. mortality. The development may be long delayed and permanent lack ofresisting power and various deformities be left behind. Many cases are encountered which lack the classic symptom group in greateror less degree. NEURASTHENIA {Nervous Prostration Nervous Exhaustion) Definition.—A term applied loosely to a large and heterogeneous group ofsymptoms indicative of instability and excessive lability, both mental and physical,. Fig. 584.—A remarkable case of cardiovascular syphilis with aneurysm and an enormousheart presenting typical neurasthenic symptoms. No murmurs were present. such as occur also individually or collectively in a great number of organic dis-eases and known constitutional defects. Whether the syndrome ever exists as a primary and independent conditionor as a concrete and definite symptom-complex is, at present, doubtful. Preliminary Comment.—To deal satisfactorily with a condition totallylacking demonstrable specific pathology and presenting only a melange of NEURASTHENIA 1177 symptoms, individually and collectively such as may represent the commonestand most logical results of a great number of chronic and acute diseases,would seem to be, and undoubtedly is, a hopeless undertaking. Like those archaic terms heart trouble, stomach trouble, andliver trouble, the term neurasthenia has not only served as a cloak forour own diagnostic i
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