Case Teaching in Medicine;

Cover Case Teaching in Medicine;
Case Teaching in Medicine;
Cabot, Richard C[larke], 1868- [from Old Catalog]
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What was the use of asking him to answer written questions? To test his cerebration.
4. Diagnosis? Prognosis? Treatment?
Diagnosis: Ptomaine poisoning, uraemia, and meningitis should be considered.
The first two do not stiffen the neck or produce deafness. The urine is not characteristic of any type of nephritis. The blood and urine are consistent with any of the diagnoses considered. In favor of meningitis are the pre- 122 CASE ^1— Continued dominance of cerebral symptoms (coma, Cbeyne-Stokes
...breathing, deafness, stiffened neck, headache) in a febrile disease of acute onset. Death occurred in three days and epidemic meningitis was found at autopsy.
Prognosis: About 75% die within ten days. Deafness and blindness may result if recoveiy occurs.
Treatment: Wholly symptomatic and supportive.
124 CASE 48 A married lady of 62 is seen March 1. The family and previous histories are good. Three years ago the left breast was removed by a competent surgeon for cancer. Since then her health has been good until December 15, 1902, when, for failing eyesight, she consulted an oculist, who found detachment of the retina in the left eye.


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