A case of sporadic cretinism with appearance of myxoedema / by Amand Routh.

  • Routh, Amand (Amand Jules McConnel)
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: A case of sporadic cretinism with appearance of myxoedema / by Amand Routh. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    marked. Nothing appears to interest her for more than a few seconds, but when cheerily spoken to amomentary gleam of pleasure flits across her face. Otherwise, her expression is always motionless, callous, and somewhat sad. The Eyesight is good, and ophthalmoscopic appearances normal. Pupils are somewhat dilated, and rather sluggish. Urinary Organs.—Patient passes on an average 25 ozs. of urine in 24 hours. Sp. g., 1015. There is no sugar, albumen, or casts. The urea is deficient, being only about one-third of the normal quantity, viz., 10^ grammes, or 172 grains per diem (percentage 1'3). This result was obtained by the method devised by Drs. Rus- sell and West. . Digestion, Organs of.—The tongue is not notably en- larged, nor indented by the teeth ; the faucial arch is broad ; the teeth are badly formed, and several have been removed, being decayed. The alveolar processes are unusually prominent, and the mucous membrane of the gums much thickened. Patient’s appetite is good ; her breath is usually foul; her bowels constipated. She constantly complains of a nasty bitter taste in her mouth. Organs of Circulation.—Pulse 72. It is very difficult to feel the pulse at the wrist owing to its distance from the surface, and its weakness. The heart-sounds are normal but weak. The Blood.—The blood was very kindly examined for me by Dr. Montagu Murray by means of Dr. Gower’s hsemocytometer and hsemodynamometer, as well as mi- croscopically. Dr. Murray states that the proportion of white to red corpuscles is about 1 to 250 ; that the