File:Nervous and mental diseases (1911) (14778101982).jpg

Identifier: nervousmentald00chur (find matches)
Title: Nervous and mental diseases
Year: 1911 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ollowed anattack of acute rheumatism, some infectious fever, or a severe hemor-rhage. It is marked by : (1) Tumefaction of the dermal and mucousstructures; (2) by intellectual and physical enfeeblement, and (3) byatrophy of the thyroid body. 510 NEUROSES. The dermal changes are the most striking. The skin is infiltratedwith a mucoid substance and the fatty panniculus is frequently greatlythickened. The swelling oifers an elastic resistance to the touch anddoes not pit on pressure. The color is usually pale, yellowish, and waxyor cheesy. The face is enlarged, rounded, and apathetic. The heavy,thickened lids droop over the eyes, the nose and lips are thickened,the brow is furrowed, the ears enlarged, and the cheeks rounded andshowing jelly-like trembling on slight jarring. The whole appear-ance is one of hebetude and stupidity. The skin of the trunk andextremities is likewise infiltrated. In the axilla? and subclaviculardepressions lipomatous-like masses are often encountered. The hands
Text Appearing After Image:
Fig. 220.—A case of myxedema before and after two months treatment by thyroids(Dr. John Woodman). and feet are enlarged with cushion-like swellings on their dorsal surfaces;the digits are thick and clumsy. The scrotum is often much thick-ened. The epidermal structures are greatly affected. The skin is dry,harsh, and branny. The hair becomes dry and scanty on all portionsof the head and body. The nails are dry, fragile, striated, atrophic.Perspiration and sebaceous secretions are defective. The mucous mem-branes, wherever visible, are tumefied, pale, dry, and elastic. Mucouspolypi in the nasopharynx are not uncommon. The tongue is thickenedand, with the infiltrated condition of the buccal, pharyngeal, and laryn-geal mucous membranes, explains the muffled voice and difficulty ofswalloAving. The intettectucd state in myxedema is uniformly marked by apatheticenfeeblement, and cerebral torpor shows itself in sluggish mentation,defective-memory, slow speech, and lethargic movements. Myxed

Note About Images