The Georgia Journal of Medicine And Surgery

Cover The Georgia Journal of Medicine And Surgery
The Georgia Journal of Medicine And Surgery
Graham, St. Joseph B., Ed
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The general hjrpenemia due to dilated arterioles is well seen in early cases in the conjunctivae, the palms of the hands, the soles of the feet, and the mouth, and the resulting heat and tingling are bit- terly complained of by the patient. These parts, which are normally the least pigmented external portions of the negroes, become deeply pigmented as the disease progresses, and remain so after it has passed away. Of course the whole skin (as well as other organs, to be mentioned later,) may be...come more deeply pigmented, but the change is most striking to the observer in the regions which are nor- mally fairer than the rest. Then the color may vary from brown to intense black.
8. Reflexes J etc. An examination of the reflexes, superficial and deep, does not bring out any point peculiar to this form of neuritis as compared with others. The gait in walking might be called typi- cally ataxic, but it is only when the muscles of the lower limbs are much wasted that the patient can not stand upright alone, with closed eyes, or turn sharply in his walk, or touch any given spot on his head or body with eyes closed — in short, co-ordination of his muscle actions appears to be good in proportion to the degree of per3 fection of muscle nutrition, the action of the muscles being short and jerky when wasting is present and the case an advanced one, any failure to carry out a desired action being the result of want of strength in the muscle itself and not of loss of central co-ordinating power.


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