A clinical lecture / by Cornelius R. Agnew.

  • Agnew, Cornelius Rea, 1830-1888.
Date:
[1880?]
Catalogue details

Licence: Public Domain Mark

Credit: A clinical lecture / by Cornelius R. Agnew. Source: Wellcome Collection.

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    risk, we give the bladder the physiological rest it requires, and we convert penile catheterism, which in these cases is often a painful and difficult process, into perineal instrumen¬ tation, which is free from all these annoyances.— The Lancet. CLINICAL RECORDS. “ Ex principiis, nascitiv* probabilitas: ex factis, vero veritas.” A Clinical Lecture. By CORNELIUS R. Agnew, M.D., Clinical Professor of Diseases of the Eye and Ear, in the College of Physicians and Surgeons, New York. CASE I.—Paralysis of the Third Nerve probably from Syphilis. Gentlemen:—You will remember that at our first cHnic I said that you must learn to look at the eye in the order in which the tissues occur. Here is a man who is forty years of age, and he presents himself here for the first time. Now, as you look at his face you will see that the left eye is closed, and that there is an eruption, looking somewhat like ery¬ sipelas, upon his forehead. The eruption extends from the central part of the forehead up over the frontal bone in a direction directly above the closed eye. On attempting to open the affected eye he does it partly by calling into ex¬ ercise the levator muscle, and partly by raising the brow. As he opens it we find that the surface of the eye is free from injection. There does not seem to be any dread of light. He has not closed his eye voluntarily to exclude light, nor has he closed it either voluntarily or involuntarily for the purpose of being relieved from the irritant effect of the air. There is no redness, or lachrymation, or other evidence of superficial inflammation. We must look, there¬ fore, to some other cause than dread of light or the contact of the atmosphere, for the tendency to keep the eye closed. When we look still further we find that the cornea is as clear as the cornea of the other eye. So passing on, in our