A practical treatise on the diseases of the ear : including a sketch of aural anatomy and physiology / by D.B. St. John Roosa.

  • Roosa, D. B. St. John (Daniel Bennett St. John), 1838-1908.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases of the ear : including a sketch of aural anatomy and physiology / by D.B. St. John Roosa. 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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    noise in his ears. From that time to this he has grown worse. He also states that his hearing is worse at night. About six months ago he had a chancre; three months later he had alopecia ; and there is now a copper-colored papular eruption upon hia wrists and arms. Hearing distance: R. vv, L. y|. The tuning-fork is heard better in the left ear. The pharynx is granular and in a hypersecretive condition. The drum-heads both show small light spots. The usual treatment for catarrh of the middle ears has been employed since the attack of tinnitus and the loss of hearing, but without success. The patient was immediately placed upon anti-syphilitic treatment, which he carried out with but moderate faithfulness, but he began at once to im- prove. Two months after his tinnitus was relieved, and the hearing distance ^^ Pressed - was : R. -jy-, L. ft. After this he went under the care of Dr. Sturgis for other symptoms of syphilis, and he informed me that he heard very well. Syphilitic Ulcer on Os Uteri—Loss of Hearing—Alopecia-Eruption—Recovery. Case II.—Mrs. X., aet. 31. April 8, 1875. Seven weeks ago this patient, who was brought to me by her husband, a physician, began to observe an im- pairment of hearing, accompanied by a dull pain and by tinnitus. Hearing distance: R. i§, L. ft. The husband, and the note of a physician who had supervised the treat- ment of the patient, state that she had not been well since the birth of her child in August last, when an abrasion (syphilitic ?) was found on the os uteri. This, the husband says, was probably produced by infection from his own finger, upon which was the initial lesion of syphilis, contracted in attending a case of labor in a syphilitic patient. The symptoms from which Mrs. X. suffered before the loss of hearing were neuralgic pains about the eyes, hyperemia of the optic disks, papular eruption on the chest, and alopecia. There are now traces of the eruption, and the patient has a poor appetite, pains in her legs, and some neuralgia about the eyes. The treatment was anti-syphilitic in the beginning, but has not been very thoroughly carried out of late. The pharynx is granular, and the left drum has no light spot. The usual treatment for catarrh of the middle ears has been pursued to some extent, but with no benefit, for the aural symptoms are increasing. A thorough anti-syphilitic treatment was undertaken, and, according to a note from the husband and a verbal communication from the physician who first observed the case, the patient progressed steadily to recovery under this management. I have not seen her since she first consulted me. Venereal Sore—Loss of Hearing— Vertigo—Double Hearing—Recovery. Case III.—Mr. U., ret. 33. August 30, 1876. The patient states that towards the end of last June he observed dnlness of hearing and tinnitus in both ears. Soon after he discovered that he was totally deaf as to the left ear, and the right ear has been growing gradually worse. On August 1st he began to have attacks of vertigo and staggering, and has