Clinical manual of mental diseases : for practitioners and students / by A. Campbell Clark.

  • Clark, Archibald Campbell, 1851-1901.
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Clinical manual of mental diseases : for practitioners and students / by A. Campbell Clark. 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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    become much more marked during the last few weeks, (c) Breathing natural and quiet, (d) Micturition normal. Penis always was placed in an indiarubber urinal, and it was found that micturition took place after decided intervals, and that there was no incontinence, (e) Defaecation : Was placed on the seat of w.c. at stated times. There was no incontinence. (/) Eyelids normal, (g) Skin reflex : Absent in axilla, and almost entirely in soles of feet, where all the toes responded, but not synchronously, and very slightly. (h) Tendon reflex : Exaggerated in both knees, the legs jerking with a flail-like movement. (B) Voluntary Movements.—Of these we saw practically nothing. The balance between the extensors and flexors of the feet was lost, the legs being flexed, and the shape of the feet suggestive of extensor paresis. This did not obtain in the case of the hands. Vaso-Motor and Nutritive.—(a) Local congestions: These were readily excited by external irritation, and persisted for a long time after, (b) Pallor extreme all over the body, (c) No oedema, (d) No inflammation or wasting. For a few weeks the interrupted current was frequently applied to his muscles and some of his nerves. The nerve trunks of the arm and face were those chiefly stimulated. This appeared to rouse him somewhat, especially when the facial nerve was stimulated. About this time also I noticed that the stomach-tube met with more resistance in being passed down the pharynx, a condition which was attributed to an improvement in the reflex tone of that part, and a disappearing of the relaxed condition of the pharyngeal walls.