Author: Paul B. Hoeber

Publisher:

Published: 2015-07-12

Total Pages: 454

ISBN-13: 9781331221890

Excerpt from Neurological Bulletin, Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University, 1919, Vol. 2 The patient, C. W. (11871 and 21309), is a girl 16 years of age. She presents a somewhat emaciated, stunted appearance and has a listless manner. Present Illness. Complaint. - She first appeared at the Clinic September 5, 1917, with symptoms as given below, and was diagnosed as a chorea. She came again May 11, 1918, having been referred by the Roosevelt Hospital and also, apparently, by Social Service. Some two years before the latter date she had an attack of nervousness, her hands and lips shook and she dropped things. This lasted several months. A second, similar attack began in the summer of 1918 and lasted about two months. Before each attack she had vomiting and abscesses and was "run down." She "vomited for three months, couldn't keep things on her stomach" during both attacks. Blood was vomited while in the hospital. She had fever, especially in the afternoon. Besides the above she had a bladder trouble which became worse during these attacks. The bladder trouble dated from childhood and was concealed from her mother. She used to have nocturnal enuresis and also occasionally diurnal, in school. Her later bladder trouble, however, which was worse during her nervous attacks, was a difficulty in micturition, for which she, had to be catheterized. She had been attending Roosevelt Hospital for five months previous to May, 1918, apparently on account of her bladder trouble. Blood was also passed, its exact origin not having been determined. A catheterization performed during November, 1918, gave a considerable quantity of bloody urine, not presenting the appearance of fresh blood. She complained of constipation but also apparently had had some involuntary defecation, the first about four years ago. She also complains of a feeling of heaviness and numbness in the legs during her attacks of nervousness and of a shortness of breath - a tight feeling produced by going upstairs and by drinking much water. She is obliged to sleep with three or four pillows under her head. Her appetite is poor. She has slight headache at times and has a general feeling of fatigue. Has no pains except those connected with her bladder trouble. She has always had amenorrh a. She had mumps when four or five years old. She has had measles and pertussis and had "rheumatic fever" at ten years of age. She was operated on for appendicitis in June, 1916, and was "nervous" already at that time. Family History. - Her father died in April, 1918, of some intestinal trouble (cancer?). Her mother is alive and well. She has four brothers and two sisters living, and healthy except one brother who was in the hospital for ulcers of stomach (or appendicitis?). Two children died, one at 11/2 years (convulsions?), the other by accident. Voluntary Motor System. Abnormal Attitudes and Deformities. - The patient has a kyphosis. Coordination. - This is normal in the usual tests, except that while they are performed choreiform movements are present. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works."