International Clinics: A Quarterly of Clinical Lectures

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J.B. Lippincott., 1905 - Clinical medicine
 

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Page i - INTERNATIONAL CLINICS A QUARTERLY OF ILLUSTRATED CLINICAL LECTURES AND ESPECIALLY PREPARED ORIGINAL ARTICLES ON TREATMENT, MEDICINE, SURGERY, NEUROLOGY, PEDIATRICS, OBSTETRICS, GYNECOLOGY, ORTHOPEDICS, PATHOLOGY, DERMATOLOGY, OPHTHALMOLOGY, OTOLOGY, RHINOLOGY, LARYNGOLOGY, HYGIENE, AND OTHER TOPICS OF INTEREST TO STUDENTS AND PRACTITIONERS BY LEADING MEMBERS OF THE MEDICAL PROFESSION THROUGHOUT THE WORLD EDITED BY AOJ KELLY, AM, MD, PHILADELPHIA, USA WITH THE COLLABORATION OF WM.
Page 133 - This discoloration pervades the whole surface of the body, and is commonly most strongly manifested on the face, neck, superior extremities, penis and scrotum, and in the flexures of the axillae and around the navel. It may be said to present a dingy or smoky appearance, or various tints or shades of deep amber or chestnut brown ; 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 42 - In the abovementioned solutions." he says. "the atoms of the metal. separated as widely as possible. are. as it were. liberated. autonomous in their activity. and susceptible in this way of developing greater energy. ... It is not difficult to conceive that these simple bodies. even in the infinitesimal doses in which they are found. are capable of influencing the chemical reactions of elementary nutrition.
Page 133 - ... 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.
Page 132 - 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 133 - Notwithstanding these unequivocal signs of feeble circulation, anaemia, and general prostration, neither the most diligent inquiry nor the most careful physical examination tends to throw the slightest gleam of light upon the precise nature of the patient's malady, nor do we succeed in fixing upon any special lesion as the cause of this gradual and extraordinary change.
Page 271 - ... of crystallized tartaric acid (if pulverized acid is used the development of the gas goes on too rapidly) are added. The larger these crystals are the better. Instead of the tartaric acid crystals, disks of acid sulphate of soda may be used. The bottle is then closed, and the carbonic acid developing in the water rises through the tube, the nozzle of which has been placed in position.
Page 133 - This singular discoloration usually increases with the advance of the disease ; the anaemia, languor, failure of appetite, and feebleness of the heart, become aggravated; a darkish streak usually appears...

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