File:Medical diagnosis for the student and practitioner (1922) (14781624461).jpg

Identifier: medicaldiagnosi00gree (find matches)
Title: Medical diagnosis for the student and practitioner
Year: 1922 (1920s)
Authors: Greene, Charles Lyman, 1862-
Subjects: Diagnosis
Publisher: Philadelphia, Blakiston
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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had provenmost misleading. in diagnosis, offering a too ready relief from some of the most vexing problemsencountered in medicine. If it were only on this ground it would seem thatthe term should either be dropped wholly, restricted to the few cases whichmay possibly be entitled to such a designation, or strictly limited as to itsuse to the description of true psychasthenia, using that term in its literalsense. Greatly Attenuated by Modern Diagnostic Methods.—To the author itwould appear that if we were to deduct from the cases of so-called neurasthenia 117S MEDICAL DIAGNOSIS those proving under thorough and scientific methods of investigation to be ex-amples of organic disease of the heart, kidneys and nervous system, chroniccryptogenic septic infection, chronic anemia, drug-habit, incipient insanity,hyper-, hypo- and dys-pituitarism or dys-thyroidism, larval syphilis and, espe-cially, active obscure tuberculosis and chronic subnutrition, the residue wouldclosely approximate zero.*
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Fig. 586.—A case of frank mitral stenosis and regurgitation in relation to which theobtrusive symptoms of neurasthenia had been accepted at face value. * To such of us as have doubted for years the very existence of a primary neurasthenia1and chafed under the universal tendency to retain and employ this unfortunate designationin lieu of the specific terminology applicable to the ailments which underlie it, it is refresh-ing to read the recent statement of an eminent neurologist to this effect, viz., The diag-nosis of neurasthenia is becoming more rare as the methods of study improve, as ourknowledge of the chemistry of disease grows, and as we examine patients with greater andgreater thoroughness. Chas W. Burr: Osiers Modern Medicine, vol. v. p. 624, Second Edition, 1915.Dr. Burr believes nevertheless in its infrequent existence as a primary disease. M I RASTHENIA 1179 Larval organicdiseases. Keystone ofneurasthenicarch. A confusingfactor. There are no symptoms or symptom groups pec

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