File:Transactions (1865) (14595861708).jpg

Identifier: transactionsoph11ameruoft (find matches)
Title: Transactions
Year: 1865 (1860s)
Authors: American Ophthalmological Society
Subjects: Ophthalmology
Publisher: New York (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: Ontario Council of University Libraries and Member Libraries

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as to be startling, giving her lips and tongue theshade of a ripe Concord grape. It is slightly marked upon thehands, and still less upon the trunk and lower extremities. Overthe face are to be seen tortuous veins, which are almost black inappearance and 2mm. to 4mm. in width. Although I noticed nospecial change in her color at my examinations, her daughterstated that she showed a dusky flush at certain times, especiallyafter excitement, which was very noticeable. The fingers are notclubbed. Her height is but little over 5 feet; her weight, 160pounds. The respirations were 30 while seated, the pulse beats 84 perminute, the temperature normal. Pulse strong, regular and of in-creased tension as compared with the normal; arteries moderatelyatheromatous. The heart was, if anything, slightly larger thanthe average upon percussion, the sounds all sharp and clear, theaortic second sound moderately accentuated. The examinationwas less satisfactory than usual because of her obesity, but of the
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Jacksox : CJironic Cyanotic Polycythemia. 365 points enumerated there could be no doubt. The lungs werenegative, excepting for a few crackles in the bases, probablv in thelight of the oedema of the legs and the condition of the urine,oedematous in character. There was no evidence of emphysema. The thick abdominal walls made the examination of thespleen very difficult. Enlargement was especially sought for, butI could not find it. The organ was certainly not greatly enlarged.The abdominal examination was otherwise negative. Xo en-larged glands were detected. There was moderate cedema of thefeet and legs, and had been for j-ears. None elsewhere exceptas noted in the lungs. Knee-jerks were normal. The urine amounted to nearly 2,ooocc. in the 24 hours. Spe-cific gravity 1,012, albumin estimated by Dr. ^McGraw at .5% byweight. A moderate number of epithelial casts were found in thecentrifuged sediment, but curiously scarcely anv hyalin orgranu-lar ones. The condition of the blood was as fo

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