This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 Excerpt: ...Washington, D. C, May 5-7, 1913. Circulatory System.--Normal, the pulse is weak and regular. Pulse 78 to the minute. Blood examination: Hemoglobin 100 per cent. Leukocyte count 10,300 Red cel...
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00,000 Wassermann---Osseous System.--Normal. Nervous System.--Mentality: Patient is dull and apathetic, but at times is quite rational. Reflexes: Knee reflex absent on the right side, on the left slightly obtainable. Babinski's sign absent. Ankle clonus not obtainable. Ulnar reflex absent. Muscle tone: Both lower extremities are weak; they are not paralyzed, because when asked patient could flex and extend both legs; he could not flex the feet. Patient is unable to walk and unable to stand unsupported. About two weeks ago patient could walk with the aid of a stick (according to his statement). Muscles of the lower extremities are slightly rigid, wasting is not noticed. Arms are in normal condition, the strength is about the same in both. Muscles of the neck are rigid, and the head turns to the right side (torticollis). Vision.--Ptosis marked. Pupils widely dilated, do not respond to artificial light, but he can tell light from darkness. Ophthalmoscopic examination by Dr. Shutc. Left eye shows marked optic neuritis, amounting almost to choked disc. Right eye shows opacities, on account of which the fundus cannot be seen. Audition is normal. Hyperesthesia is marked in some portions of the lower extremities. Anesthetic points over the upper extremities and the trunk are detected. EXAMINATION OF CEREBROSPINAL FLUID. 35 c.c. clear, watery fluid submitted. Protein (Amnion, sulphite method): Not increased. Cell count: 5. Sugar: Negative. Cytology.--Few small mononuclear cells. Few erythrocytes. (Traumatism of puncture?) Bacteriological.--No microorganisms found, whi...