. Medical diagnosis for the student and practitioner. affected eye, thrombosis of thecavernous sinus or hemorrhage into the orbital tissue. Enophthalmos.—This is the oppo-site of exophthalmos and ordinarilyaccompanies collapse, wasting diseases,severe hemorrhage or persistent pro-fuse diarrheas. Unilaterally it is foundin hemiatrophy or lesions of the sym-pathetic nerve. Corneal Opacities.—These indicate,as a rule, syphilis or tuberculosis, butthey may result from direct cornealinjuries of any nature. Cataract.—In many cases this dis-ease of the crystalline lens is associatedwith diabetic mani
. Medical diagnosis for the student and practitioner. affected eye, thrombosis of thecavernous sinus or hemorrhage into the orbital tissue. Enophthalmos.—This is the oppo-site of exophthalmos and ordinarilyaccompanies collapse, wasting diseases,severe hemorrhage or persistent pro-fuse diarrheas. Unilaterally it is foundin hemiatrophy or lesions of the sym-pathetic nerve. Corneal Opacities.—These indicate,as a rule, syphilis or tuberculosis, butthey may result from direct cornealinjuries of any nature. Cataract.—In many cases this dis-ease of the crystalline lens is associatedwith diabetic manifestations or seemsto reflect a general degenerative processand should suggest a painstaking in-vestigation of the heart, blood vessels,and urine. Juvenile cataract is fre-quently associated with struma or congenital syphilis. The Dry and the Moist Eye.—If the eye be permanently or for longperiods uncovered by the lids, as in profound collapse, it becomes glazed anddry, or even seriously inflamed as in rare cases of exophthalmic goiter with. Fig. 9.—Thrombosis of right cavernoussinus. Edema of right side of face andright unilateral exophthalmos. {Gordon.) THE OUTWARD SIGNS OF DISEASE 33 Epiphora. Misleadingredness extreme protrusion of the eyeballs. On the other hand, profuse lachryma-tion may accompany irritation of the conjunctiva or result from a merephotophobia. Actual persisting overflow (epiphora) may be present if thelachrymal duct is blocked or markedly displaced from any cause. THE NOSE.—Saddle-nose is discussed elsewhere. A coarse, broad organis seen in certain strumous types and in pituitary disorders, myxedema andcretinism, or may be purely racial or familial. Its base may be broad andshapeless in adenoid disease and nasal polypi, and it may be the seat of dis-tressing and humiliating vascularity even in the temperate individual. Suchinnocent redness is most frequently due to exposure to the elements, gastricand pelvic derangements, cardiovascular distur
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
