General paresis / by Emil Kraepeli ; authorized English translation by J.W. Moore.

  • Kraepelin, Emil, 1856-1926.
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: General paresis / by Emil Kraepeli ; authorized English translation by J.W. Moore. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    feces also needs constant attention if one would avoid urine dribbling and loss of control of the rectum. The physician should accustom himself to note, by palpation above the symphysis, the fulness of the bladder in his paralyzed or bed-ridden paretics on each of his visits. Often a warm bath at the right time will stimulate a voidance. Vesical inflammation requires irrigation and urotropin. In one paretic who had already been catheterized for two years, independent micturition was restored by four weeks of irrigation (tannin solution) twice daily, nor was it lost during a paretic attack lasting 13 days. In this same patient, with the above-mentioned treatment, no bed-sores occurred up to the day of death, in spite of deep coma and almost complete pulselessness. Nourishment should always be given by tube dur- ing attacks (necessary only in attacks lasting many days) ; simply pouring food into the mouth is highly dangerous. If one is care- ful to clean and disinfect the mouth frequently with a moist cloth (potassium chlorate) and to maintain the moisture of the cornea by regular half-hourly moving of the partly-opened eye-lids (to prevent ulceration), one will often succeed in keeping the patient alive even through an attack lasting 8-14 days.