Clinical lectures on Neurasthenia.

  • Savill, Thomas Dixon, 1856-1910.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on Neurasthenia. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    29/168 (page 9)
    logy, and if the case be a well-marked typical one, such, for instance, as chorea, epilepsy and the like; though even in these instances a large number of other diseases are attended by clonic spasms or convulsions. Comparatively few cases of nerve disease, however, do conform to a type, and, more- over, we always have to make out two things concerning every case—the locality, and the nature of the lesion. I believe, therefore, that the best way, both for purposes of diagnosis and for purposes of research, is to take the locality and the nature of the lesion separately, (a) For the * SCHEME FOR CASE-TAKING (NERVOUS SYSTEM). MoTOB System. Power of walking—Dynamometer—Evidences of weakness—Six Movements, flexion, extension, adduction, abduction, rotation, circumduction. Stiffness or Placcidity. Volume (Nutrition).—Electrical changes. Tremors—Clonic spasms. Co-ordination—(and muscular sense). Reflexes, Deep and Superficial—Ankle clonus. Nerve-trunks—Pain (neuralgia)—Tenderness—Electrical reactions. Sensation. (Increase or Diminution.) Touch—Pain—Temperature—Localisation—Any delay. Muscle-sense—(a) appreciation of position of joint, and difference of weights ; (b) Localisation of position of other limb. Cbanial Nerves, and Special Senses. (Acuteness and subjective sensations.) SmeU—nasal cavities. Vision—Pupils—Pundi—Ocular muscles. Facial movements—Sensation of face. Hearing (aerial and per-osseous)—Meatus. Tongue—Movements—Sensation—Taste (tip and edges ; posterior part and palate, each side). Palate (movements and sensation). Deglutition—Pharyngeal reflex. Beain. Speech—Agraphia, aphemia, word-blindness, word-deafness. Memory - Attention - Intellect-Emotions-Will-Delusions-Hallucina- tions. Headache—Tenderness—Vertigo—Vomiting. Consciousness—Delirium. Fits (convulsive or syncopal)—Hysterogenic zones. Sympathetic (symptoms paroxysmal or periodic). Involuntary muscular system-Incontinence of urine or fseces Flush storms-Pallor-Pulse-Colour and Temperature of limbs. Obscure sensations (Formication-pins and needles, &c.) Dyspncea (e.g., Cheyne-Stokes)—Palpitation. Trophic Lesions - Bed-sores - Joint - changes - Eruptions - Perforating-