A manual of the practice of medicine / by George Roe Lockwood.

  • Lockwood, George Roe.
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: A manual of the practice of medicine / by George Roe Lockwood. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    In growing lesions the march of the spasm ma\- be observed, and accurate localization becomes possible. Diagnosis.^Petit mal ma)- be mistaken for syncope, vertigo; or indigestion, but in these conditions conscious- ness is not lost. Jacksonian epilepsy is rarely mistaken for other conditions. Localized spasms ma}-, however, occur in uraemia and in progressive paresis. Grand mal is to be diagnosed from uraemia, simple convulsions in children, convulsions from organic brain disease, malingering, and hystero-epilepsy. Uraemia is diag- nosed by the high arterial tension, the scanty and albumin- ous urine, and the presence of fever during the attack. Simple convulsions in children are usually due to some recognized cause and are not apt to be repeated. Convul- sions due to organic brain disease, such as tumors of the cerebellum and progressive paresis, are to be diagnosed by attention to the history and the other symptoms. Malin- gerers may closely simulate epilepsy, but the tongue is not bitten, foaming at the mouth does not occur, and strong pressure by the thumbs over the supraorbital notches will rapidly cut short the attack. The diagnosis from' hystero- epilepsy is to be made by the following points, thus tabu- lated by Gowers : Epileptic. Hysteroid. Apparent cause . Warning . . . , Onset Scream Convulsion . . . Biting Micturition . . , Defecation . . , Talking . . . . , Duration . . . , Restraint necessary Termination . . . None. Any, but especially unilat- eral or epigastric aurce. Always sudden. At onset. Rigidity followed by jerk- ing, rarely rigidity alone, Tongue. Frequent. Occasional. Never. A few minutes. To prevent accident. Spontaneous. Emotion. Palpitation, malaise, chok- ing, bilateral foot-aura. Often gradual. During course. Rigidity or struggling, throwing about of limbs or head, arching of back. Lips, hands, or other people or things. Never. Never. Frequent. More than ten minutes, often much longer. To control violence. Spontaneous or induced (water, etc.). The prog-nosis for cure, except in Jacksonian epilepsy, is