. The Journal of nervous and mental disease. p-ward toward the umbilicus : dermatographia present; hips narrowand body angular in outline ; hands are deformed from hard work;fingers spatulate ; feet long and somewhat tapering. Gastro-intestinal.—Tongue clean; many teeth missing; bowelsregular; liver normal in outline : spleen palpable. Chest.—Barrel-shaped ; no adventitious sounds. Heart.—Normal in outline; pulse-rate 70; blood pressure, sys-tolic 116, diastolic 72. 26 MARY OMALLEY MamiiKP.—Well-developed and full; glandsaxillae. No retrosternal dullness. Gynecological.—External genitalia norm
. The Journal of nervous and mental disease. p-ward toward the umbilicus : dermatographia present; hips narrowand body angular in outline ; hands are deformed from hard work;fingers spatulate ; feet long and somewhat tapering. Gastro-intestinal.—Tongue clean; many teeth missing; bowelsregular; liver normal in outline : spleen palpable. Chest.—Barrel-shaped ; no adventitious sounds. Heart.—Normal in outline; pulse-rate 70; blood pressure, sys-tolic 116, diastolic 72. 26 MARY OMALLEY MamiiKP.—Well-developed and full; glandsaxillae. No retrosternal dullness. Gynecological.—External genitalia normal;uterus rather infantile; menses regular. Reflexes.—Both deep and superficial ; Wassermann with blood serum negative. Voice coarse, heavy and deep. Mental.—A case of imbecility with excitements,ested in members of her own sex. A state of pseudohermaphroditism dating from childhood withthe outward appearance of masculinity due to an imperfect acquire- palpable in both hymen ruptured; Urinalysis nega- Is only inter-. Case 9. General outline of body masculine in type; voice heavy and coarse:Hypertrichosis with male distribution. Some obesity. ment of the secondary sex characters. Pluriglandular syndromehirsute ; masculine type of adiposity. Voice heavy and quite mas-culine in quality. Whole appearance shows positive maleness. Case 10. Obesity; general maleness in outline of the body;hypertrichosis. M. B. Colored; age 50 when admitted in 1899; married. Nothing known of family or personal history. Physical Examination.—A very well-developed, well-nourishedlight-brown colored woman. Eyes: Right pupil widely dilated andinactive. Irides light brown. Hair gray, streaked with black, curledclose to head. Muscles poor tone. Glands, bones and joints showno abnormalities. PLURIGLANDULAR ANOMALOUS FUNCTIONS 27 Digestive System and Abdominal Organs.—Mouth: Not allowedto be examined. Appetite, digestion and bowels normal. Liver out-line normal. Spleen and kidneys
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectpsychologypathologic
