Guy's Hospital Reports

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Samuel Highley, 1862 - Clinical medicine

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Page 324 - The prize is open- for competition to the whole world, but the essay must be the production of a single person. The essay, which must be written in the English language, or if in a foreign language, accompanied by an English translation, must be sent to the College of Physicians of Philadelphia, Pennsylvania, USA, before January 1, 1898, addressed to Barton Cooke Hirst, MD, Chairman of the William F.
Page 324 - Each essay must be accompanied by a sealed envelope containing the name and address of the author and bearing on the outside the motto or device which is inscribed upon the essay.
Page 6 - ... excessively soft and compressible ; the body wastes, without, however, presenting the dry and shrivelled skin and extreme emaciation usually attendant on protracted malignant disease ; slight pain or uneasiness is from time to time referred to the region of the stomach, and there is occasionally actual vomiting, which in one instance was both urgent and distressing; and it is by no means uncommon for the patient to manifest indications of disturbed cerebral circulation.
Page 5 - The leading and characteristic features of the morbid state to which I would direct attention are, anaemia, general languor and debility, remarkable feebleness of the heart's action, irritability of the stomach, and a peculiar change of colour in the skin, occurring in connection with a diseased condition of the
Page 5 - For a long period I had from time to time met with a very remarkable form of general anaemia, occurring without any discoverable cause whatever — cases in which there had been no previous loss of blood, no exhausting -diarrhoea, no chlorosis, no purpura, no renal, splenic, miasmatic, glandular, strumous, or malignant disease.
Page 6 - The patient in most of the cases I have seen has been observed gradually to fall off in general health; he becomes languid and weak, indisposed to either bodily or mental exertion ; the appetite is impaired or entirely lost ; the whites of the eyes become pearly ; the pulse small and feeble, or perhaps somewhat large, but excessively soft and compressible ; the body wastes, without, however, presenting the dry and shrivelled skin and extreme emaciation usually attendant...
Page 5 - I, perhaps with little propriety, applied to it the term "idiopathic," to distinguish it from cases in which there existed more or less evidence of some of the usual causes or concomitants of the anaemic state.
Page 72 - ... presented to corresponding parts of the two retinae. If a blue disc be presented to the right eye and a yellow disc to the corresponding part of the left eye, instead of a green disc which would appear if these two colours had mingled before their arrival at a single eye, the mind will perceive the two colours distinctly one or the other alternately predominating either partially or wholly over the disc. In the same manner the mind perceives no trace of violet when red is presented to one eye...
Page 6 - ... and in one instance the skin was so universally and so deeply darkened, that but for the features the patient might have been mistaken for a mulatto.
Page 6 - ... or less manifestation of the symptoms already enumerated, we discover a most remarkable, and, so far as I know, characteristic discoloration taking place in the skin, — sufficiently marked indeed as generally to have attracted the attention of the patient himself, or of the patient's friends.

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