A text-book of the practice of medicine online

Rc4(q



1^0 1



College of ^{)j>£iicians; and burgeons
Hibrarp




Digitized by the Internet Archive

in 2010 with funding from

Open Knowledge Commons



http://www.archive.org/details/textbookofpracti1902ande



A TEXT-BOOK '^"' ^.



OF THE



Practice of Medicine



BY

JAMES M, ANDERS, M.D,, Ph.D., LL.D.

Professor of the Practice of Medicine and of Clinical Medicine in the Medico-Chirurgical College,

Philadelphia j Attending Physician to the Medico-Chirurgical and

Samaritan Hospitals, Philadelphia, Etc.



ILLUSTRATED



FIFTH EDITION, THOROUGHLY REVISED



PHILADELPHIA AND LONDON

W. B. SAUNDERS & COMPANY

1902



fiyi ^



Copyright, 1901.
By W. B. SAUXDERS & COMPANY.



ELECTROTYPED BY
WESTCOTT &. THOMSON, PHILAOA



PRESS OF
W. B. SAUNDERS & COMPANY.



PREFACE TO THE FIFTH EDITION.



It is especially gratifying to the author to be called on for another
revision of this work Tvithin less than a year since the fourth edition
was issued. In the preparation of this edition, the original purpose to
make the book pre-eminently practical has been the sole point of vantage,
and to this end theoretic considerations have been, as in previous issues,
subordinated. The most thorough and extensive changes have been
made in connection with the large group of Infectious Diseases. No
pains have been spared to present modern views, derived from clinical
experience and critical bedside observation, as well as newly discovered
scientific facts, tempered, it is hoped, with commendable conservatism.
Especial care has been bestowed upon the etiology, including bacteriol-
ogy, inductive diagnosis, and the details of treatment, in the belief that
these phases of the subjects treated form the groundwork for an intelli-
gent and successful pursuit of the science and art of medicine.

The etiology and mode of transmission of Malaria and of Yellow
Fever have been almost entirely rewritten. Certain affections of grow-
ing importance, as Diphtheritic Dysentery and Parasitic Hemoptysis,
have been recast and more fully discussed. A fev7 new articles have
been introduced; for example, Fatty Infiltration of the Heart, Strepto-
coccus Pneumonia, and Acute Diffuse Interstitial Nephritis. Among
leading infections that have received careful and thorough revision are
Typhoid Fever, Malaria, Cerebro-spinal Meningitis, Lobar Pneumonia,
Influenza, Variola, Chronic Tuberculosis, and Hydrophobia. The entire
work, moreover, has been carefully scrutinized and brought into harmony
with the most recent developments in practical medicine.

The original plan of the work, based on the systematic, orderly, and
convenient arrangement of the individual themes and their subdivisions,
has been retained and in numerous places further perfected. Thus
changed and improved, it is hoped that the present issue will be found
deserving of no less professional favor than that enjoyed by the previous
ones.

Dr. Joseph Sailer has carefully revised the section on Nervous Dis-
eases. My best thanks are due to Dr. L. Napoleon Boston and Dr. W.
Z. Anders for kind aid rendered, as well as to the publishers for courte-
sies extended and the efficient manner in which they have executed
their work.

1605 Walnut Street,



PREFACE.



This work is meant to introduce the student to the present state of
our knowledge of the practice of medicine in general and of the diagno-
sis, differential diagnosis, and treatment of disease in particular. The
historic development of the subjects treated has been either briefly given
or intendedly omitted, since this scarcely falls within the scope of a prac-
tical treatise on medicine. Although the book as a whole is submitted
to the critical judgment of a learned profession, it may be pardonable to
emphasize, provisionally, a few features pertaining to the mode of treat-
ing the separate subjects, or the arrangement of the material under the
latter — to indicate some of the more salient lineaments, so to speak, in
the general design. Since in medical schools it is taught from a separate
chair, the pathology (special) of the individual affections has almost in-
variably been taken up before the etiology ; from this point the student
will find the story of each affection a continuous one. The practitioner,
however, must ever aim to associate the clinical symptoms with the
morbid lesions.

Under special etiology the bacteriology has been prominently men-
tioned, since we owe to it the rapid progress that is being made in the
study of the causation of disease.

The differential diagnosis has in many instances been tabulated — an
ear-mark that I confidently believe will be found especially helpful. It
may be stated that not less than fifty-six diagnostic tables are scattered
throughout the work, and that by far the greater number of these are
my own.

Such formulae have been introduced into the text, and only such, as a
more or less extended experience has shown to be possessed of real thera-
peutic importance. Whilst these, and all additional points relating to
the treatment of the single affections, may serve as guides, particularly
to the beginner, I fully appreciate how often the practising physician is



PREFACE.

placed in a position in which he is compelled to form a therapeutic
judgment for himself. Whenever the dosage is stated, the metric equiv-
alent is placed in parentheses, the number of grams being stated in round
numbers (3j — 4.0 ; ^j — 32.0) in order to render it of greater practical
value. In all instances, however, in which this would involve an im-
portant difference in quantity the exact decimal figures are given. A
considerable variation from the usual classification of diseases may be
observed, but this is accounted for in the text wherever it occurs.

Preference has been given to the modern orthography and termi-
nology, not only because it is more euphonious, but also because of its
adoption by the standard lexicographers.

I have gleaned without stint from medical literature with a view to
bringing the book up to date, and if I have failed to give full credit in
every instance, my grateful acknowledgments are here due and are
cheerfully made. The chief results of my personal experience and obser-
vation, extending over a period of two decades, and derived from both
hospital and private practice, will also be found upon these pages.

I wish to thank Prof. W. C. Hollopeter, who has written some of the
articles upon the diseases of children, as measles, chicken-pox, mumps,
whooping-cough, and the acute diarrheas, and who has kindly aided in
the preparation of those upon diphtheria and scarlatina.

My cordial thanks are due also to Dr. C. L. Furbush for kind aid
in preparing some of the illustrations, to Doctors Robert N. Willson,
Howard S. Anders, and Greo. W. Pfromm for valuable assistance while
the work was passing through the press, and to Dr. A. M. Davis for
preparing the index.

JAMES M. ANDERS.



CONTENTS.



PART I INFECTIOUS DISEASES.

PAGE

Typhoid Fever 17

Mountain Fever 67

Typhus Fever , 67

Relapsing Fever 73

Malarial Fever 79

Dysentery 98

Catarrhal Dysentery 99

Amebic Dysentery (Tropical Dysentery) , . . . 100

Primary Diphtheritic Dysentery 104

Secondary Diphtheritic Dysentery 105

Chronic Dysentery 107

Cholera (Epidemic) 110

Yellow Fever 120

Cerebrospinal Meningitis 125

Lobar Pneumonia 134

Ether -pneumonia 151

Secondary Pneumonia 160

Influenza 161

Dengue 169

The Plague 171

Erysipelas 174

Diphtheria 181

Septicemia 197

Pyemia 201

Acute Articular Rheumatism 205

Subacute Articular Rheumatism 216

Gonorrheal Arthritis 216

Variola 218

Vaccination 231

Varicella 234

Scarlet Fever 236

Measles 248

Rubella 251

Whooping-cough 254

Parotitis 261

Tuberculosis 263

Bovine Tuberculosis 267

Tuberculosis of the Lymph-glands 274

Acute Tuberculosis 277

General Miliary Tuberculosis 278

Typhoid Form 278

Pulmonary Form 280

Cerebral or Meningeal Form 282

Acute Pneumonic Phthisis 285

Chronic Tuberculosis 288

Fibroid Phthisis 305

Tuberculosis of the Alimentary Tract ' 307

Tuberculosis of the Serous Membranes 310

Tuberculosis of the Pericardium 311

Tuberculosis of the Peritoneum 312

Tuberculosis of the Liver 314

Tuberculosis of the Genito-urinary System 315

Tuberculosis of the Fallopian Tubes, Ovaries, and Uterus 317

Tuberculosis of the Mammary Glands 317

Tuberculosis of the Brain 318

Tuberculosis of the Spinal Cord 318

Tuberculosis of the Hearl 318

5



6 CONTENTS.

PAGE

Tuberculosis of the Arteries and Veins 319

Treatment of Tuberculosis 320

Syphilis 329

Visceral Syphilis 336

Syphilis of the Liver 337

Syphilis of the Alimentary Tract 339

Syphilis of the Lungs 340

Syphilis of the Spleen 341

Syphilis of the Circulatory System 341

Syphilis of the Arteries 342

Syphilis of the Kidneys 342

Syphilis of the Joints 342

Syphilis of the Testicles 343

Leprosy 348

Glanders 351

Actinomycosis 353

Anthrax 355

Hydrophobia 358

Tetanus 362

Infectious Diseases of Unknown Etiology 365

Muscular Rheumatism 365

Chronic Articular Rheumatism 368

Weil's Disease 370

Schlammfieber 371

Malta Fever • 371

Febricula 372

Milk-sickness 373

Miliary Fever 374

Foot-and-mouth Disease 375

Glandular Fever 376

PART II.— CONSTITUTIONAL DISEASES.

Diabetes 378

Diabetes Insipidus • 389

Arthritis Deformans 391

Gout 396

Lithemia • 404

Rachitis 406

Scorbutus 411

Infantile Scorbutus 415

Purpura 416

Hemophilia 419

Hemorrhagic Diseases of the New-born 422

PART III.— DISEASES OF THE BLOOD AND THE DUCTLESS

GLANDS.

Anemia 423

The Primary or Essential Anemias 424

Simple or Benign Anemia 424

Chlorosis 425

Progressive Pernicious Anemia 430

The Secondary Anemias 437

Leukocytosis 440

Leukocythemia 441

Pseudo-leukemia 448

Anfemia Infantum Pseudo-leuksemica 453

Splenic Anemia 454

Chloroma 455

Diseases of the Ductless Glands 455

Diseases of the Suprarenal Capsules 455

Addison's Disease 455

Diseases of the Thyroid Gland 459

Thvroiditis 459

Goiter 460

Exophthalmic Goiter 462

Myxedema 466



CONTENTS. 7

PART IV.— DISEASES OF THE RESPIRATORY SYSTEM.
1. DISEASES OF THE NOSE.

PAGE

Acute Rhinitis 471

Chronic Rhinitis 472

Autumnal Catarrh 475

Epistaxis 476

II. DISEASES OF THE LARYNX.

Acute Catarrhal Laryngitis 477

Chronic Laiyngitis 479

Spasmodic Laryngitis 481

Edematous Laryngitis 483

Tumors of the Larynx 484

III. DISEASES OF THE BRONCHI.

Catarrhal Bronchitis 484

Acute Bronchitis 485

Chronic Bronchitis 489

Brochiectasis . 493

Bronchial Stenosis 496

Asthma 497

Fibrinous Bronchitis 502

IV. DISEASES OF THE LUNGS.

Circulatory Disturbances in the Lungs . 504

Congestion of the Lungs 504

Active Hyperemia 504

Passive Hyperemia 505

Pulmonary Edema 506

Hemoptysis 507

Pneumorrhagia 514

Pulmonary Embolism 514

Chronic Interstitial Pneumonia 516

Broncho-pneumonia 518

Pulmonary Atelectasis 525

Emphysema 528

Interlobular Emphysema 528

Vesicular Emphysema ^ 528

Compensating Emphysema 529

Hypertrophic Emphysema 529

Senile Emphysema 535

Gangrene of the Lungs 535

Abscess of the Lungs 538

Pneumonokoniosis 539

New Growths of the Lungs . 542

Carcinoma of the Lung 542

Sarcoma of the Lung - 543

Hydatid Cyst of the Lung 544

V. DISEASES OF THE PLEURA.

Pleurisy 545

Acute Plastic Pleurisy 545

Sero-fibrinous Pleurisy 548

Empyema 562

Chronic Pleurisy 566

Pneumothorax 568

Hydrothorax 573

New Growths of the Pleura 574

Diseases of the Mediastinum 575

Inflammation of the Mediastinum 575

Tumors of the Mediastinum 576

Diseases of the Thymus Gland 578

Mediastinal Hemorrhage 578



8 CONTENTS.

PART v.— DISEASES OF THE CIRCULATORY SYSTEM.
I. DISEASES OF THE PERICARDIUM.

PAGE

Pericarditis • ""

Acute Plastic or Fibrinous Pericarditis 579

Sero-fibrinous Pericarditis 582

Purulent Pericarditis 587

Hemorrhagic Pericarditis 588

Adhesive Pericarditis 588-

Hydropericardium 590

Hemopericardium 591

Pneumopericardium 591

II. DISEASES OF THE HEART.

Endocarditis 592

Simple Acute Endocarditis 592

Ulcerative Endocarditis 596

Chronic Endocarditis 600

Aortic Incompetency 603

Aortic Stenosis 609

Mitral Incompetency 611

Mitral Stenosis 617

Tricuspid Incompetency 621

Tricuspid Stenosis 624

Pulmonary Incompetency 625

Pulmonary Stenosis 626

Combined Forms of Cardiac Diseases 626

Cardiac Thrombosis 640

Hypertrophy of the Heart 642

Dilatation of the Heart 649

Myocarditis 654

Acute Myocarditis 654

Chronic Myocarditis 655

Disease of the Coronary Arteries 659

Degenerations of the Heart 660

Fatty Degeneration 660

Fatty Overgrowth , . . 662

Fatty Infiltration 663

Brown Atropby 664

Calcareous Degeneration 664

Amyloid Degeneration 664

Hyaline Degeneration 664

Cardiac Aneurysm 664

Rupture of the Heart 665

Minor Affections of the Heart . . . : 666

New Growths 666

Parasites 667

Misplacement 667

Floating Heart 667

III. NEUROSES OF THE HEART.

Palpitation 667

Tachycardia 670

Brachycardia 671

Arrhythmia 673

Angina Pectoris 675

IV. CONGENITAL AFFECTIONS OF THE HEART.

Arrested Development 678

Fetal Endocarditis 679

V. DISEASES OF THE ARTERIES

Acute Aortitis 681

Arterial Sclerosis 682

Aneurysm 686

Aneurysm of the Thoracic Aorta 687



CONTENTS. 9

PAGE

Aneurysm of the Abdominal Aorta 69G

Aneurysm of the Pulmonary Artery 597

Aneurysm of the Coronary Arteries 697

Aneurysm of the Celiac Axis 697

Aneurysm of the Splenic Artery 697

Aneurysm of the Hepatic Artery 667

Aneurysm of the Superior Mesenteric Artery 698

Aneurysm of the Inferior Mesenteric Artery 698

Aneurysm of the Kenal Arteries 698

Arterio- venous Aneurysm 698

Congenital Aneurysm 698

PART VI.— DISEASES OF THE DIGESTIVE SYSTEM.

I. DISEASES OF THE MOUTH.

Stomatitis 699

Catarrhal Stomatitis 699

Aphthous Stomatitis 700

Aphtha Cachectica (Riga's Disease) 701

Membranous Stomatitis 702

Ulcerative or Fetid Stomatitis 703

Neurotic Ulceration 704

Parasitic Stomatitis 705

La Perleche 707

Gangrenous Stomatitis 707

Mercurial Stomatitis 709

II. DISEASES OF THE TONGUE.

Glossitis 710

Acute Glossitis 710

Chronic Superficial Glossitis 711

Glossitis Desiccans 712

Lingual Glossitis 712

Leukoplakia Oris 712

Angina Ludovici 713

III. DISEASES OF THE SALIVARY GLANDS.

Hypersecretion 713

Xerostoma 714

Glassblowers' Mouth 714

Symptomatic Parotitis 714

Chronic Parotitis 715

IV. DISEASES OF THE TONSILS.

Acute Tonsillitis 716

Chronic Tonsillitis 721

V. DISEASES OF THE PHARYNX.

Pharyngitis 724

Acute Pharyngitis . . 724

Membranous Pharyngitis 725

Chronic Pharyngitis 726

Acute Infectious Phlegmon of the Throat 727

Retropharyngeal Abscess 728

VI. DISEASES OF THE ESOPHAGUS.

Esophagitis 728

Acute Esophagitis 728

Chronic Esophagitis 730

Ulcer of the Esophagus 730

Carcinoma of the Esophagus 730

Rupture of the Esophagus 732

Neuroses of the Esophagus 733

Muscular Spasm 733

Paralysis of the Esophagus 733



10 CONTENTS.

PAGE

Dilatation of the Esophagus 734

Esophageal Diverticulum 735

Stricture of the Esophagus 736

VII. DISEASES OF THE STOMACH.

Methods of Diagnosis 739

Examination of the Gastric Functions 739

Physical or External Examination 744

Malposition of the Stomach 747

Gastroptosis 747

DUatation of the Stomach 748

Inflammatory Diseases of the Stomach 753

Acute Catarrhal Gastritis 753

Toxic Gastritis 756

Diphtheritic Gastritis 757

Acute Suppurative Gastritis 757

Chronic Catarrhal Gastritis 758

Gastric Ulcer 767

Carcinoma of the Stomach 775

Hematemesis 782

Hypertrophic Stenosis of the Pylorus , . 782

Neuroses of the Stomach 783

Nervous Dyspepsia 783

Neuroses of Secretion 786

Hyperchlorhydria 786

Neuroses of Motility 788

Increased Peristalsis of the Stomach 788

Diminished Peristalsis of the Stomach 788

Neuroses of Sensation 789

Cardialgia 789

Hyperesthesia of the Stomach 791

Anorexia 791

Hyperorexia 792

VIII. DISEASES OF THE INTESTINES.

Methods of Diagnosis 792

Enteroptosis 795

Intestinal Catarrh 796

Diarrheas of Children 804

Acute Gastro-intestinal Catarrh 804

Celiac Disease 809

Phlegmonous Enteritis • 809

Croupous or Diphtheritic Enteritis 809

Sprue (Psilosis) 810

Cholera Morbus • 811

Intestinal Infarction 812

Intestinal Ulcei-s 813

Duodenal Ulcer 813

Follicular Ulcers 814

Stercoral Ulcers 814

Simple Ulcerative Colitis 814

Solitary Ulcers 816

Diffuse Catarrhal Ulcer 816

Cancerous Ulcer 816

Appendicitis 816

Chronic Appendicitis 828

Eecurrent Appendicitis 829

Intestinal Obstruction • • 832

Carcinoma of the Intestine 839

Habitual Constipation 842

Dilatation of the Colon 846

Neuroses of the Intestine ' • • 846

Secretory Disturbances 846

Membranous Enteritis 846

Sensory Disturbances 847

Enteralgia .... 847

Diminished Intestinal Sensibility 848



CONTENTS. 11

PAGE

Disturbances of Motility 849

Nervous Diarrhea 849

Enterospasm , 849

Constipation 850

IX. DISEASES OF THE LIVER.

Anomalies in Shape and Position 851

Jaundice 852

Catarrhal Jaundice 853

Other Forms of Jaundice 856

Acute Infectious Cholecystitis 857

Biliary Calculi , 858

Chronic Obstruction of the Dlact by Gall-stones 860

Obstruction of the Common Duct 860

Obstruction of the Cystic Duct 862

More Kemote Effects of Gall-stones 862

Carcinoma of the Bile-ducts 866

Stenosis of the Bile-ducts 867

Icterus Neonatorum ; 869

Vascular (Circulatory) Affections of the Liver 870

Anemia 870

Hyperemia 870

Acute Hyperemia 870

Passive Hyperemia 870

Diseases of the Portal Vein 871

Thrombosis and Embolism 871

Suppurative Pylephlebitis 872

Stenosis 874

Affections of the Hepatic Blood-vessels 874

Atrophy and Hypertrophy of the Liver 874

Hepatic Infiltrations and Degenerations 875

Amyloid Infiltration 875

Fatty Infiltration 877

Fatty Degeneration , 878

Perihepatitis 879

Acute Perihepatitis 879

Chronic Perihepatitis 881

Abscess of the Liver 882

Acute Yellow Atrophy 887

The Liver in Phosphorus-poisoning 889

Cirrhosis of the Liver . 891

Carcinoma of the Liver 899

Other New Growths in the Liver 904

X. DISEASES OF THE SPLEEN.

Dislocation of the Spleen 905

Splenic Hyperemia 905

Splenitis 906

Amyloid Degeneration of the Spleen 908

Morbid Growths of the Spleen 908

Eupture of the Spleen 909

XI. DISEASES OF THE PANCREAS.

Acute Pancreatitis 909

Hemorrhagic Pancreatitis 909

Suppurative Pancreatitis 911

Gangrenous Pancreatitis 911

Chronic Pancreatitis 9r2

Pancreatic Hemorrhage 913

Carcinoma of the Pancreas 914

Other Tumors of the Pancreas 916

Pancreatic Cyst 916

Pancreatic Calculi 917



12 CONTEXTS.

XII. DISEASES OF THE PERITONEUM.

PAGE

Acute Peritonitis , 918

Peritonitis in Children 922

Localized or Partial Peritonitis « 922

Chronic Peritonitis ' 927

Ascites 930

New Growths in the Peritoneum 934

Carcinoma of the Peritoneum 934

Other Tumors of the Peritoneum 936

Fibromata and Lipomata . 936

PART VII.— DISEASES OF THE URINARY SYSTEM.

I. DISEASES OF THE KIDNEY.

Mobility of the Kidney 937

Circulatory Disorders of the Kidneys 941

Active Hyperemia . . , 941

Passive Hyperemia 941

Special Pathologic States of the Urine 942

Hematuria 942

Hemoglobinuria 944

Albuminuria 946

Peptonuria and Albumosuria 949

Indicanuria 949

Pyuria 950

Chvluria 951

Choluria 952

Urobilinuria 953

Glycosuria 953

Acetonuria, Diacetonuria, and Oxybutyria 956

Lithuria 957

Oxaluria 958

Phosphaturia • 959

Leucinuria and Tyrosinuria 960

Cystinuria .' 960

Various other Conditions 961

The Nephritides 963

Morphologic Constituents of the Urine in Kenal Disease 963

Dropsy of Eenal Disease 965

Uremia 966

Amyloid Kidney 970

ISrej)hrolithiasis 972

Acute Nephritis 978

Acute Interstitial Xon-suppurative Nephritis 985

Chronic Nephritis (Exudative) • 986

Chronic Nephritis (Non-exudative) 990

Pyelitis . . . _ : 997

Hydronephrosis 1001

Perinephric Abscess 1004

Cystic Kidney 1006

New Growths of the Kidney 1007

II. DISEASES OF THE BLADDER.

Cystitis 1010

Acute Cystitis 1010

Chronic Cystitis 1013

Neoplasms of the Bladder 1015

Vesical Hemorrhage 1015

Neuroses of the Bladder 1016

Irritability of the Bladder 1016

Neuroses of Micturition , 1018

PART VIII.— DISEASES OF THE NERVOUS SYSTEM.

Introduction 1021



CONTENTS. 13

I. DISEASES OF THE PERIPHERAL NERVES.

PAGE

Neuritis 1032

Beri-beri 1035

Neuromata 1036

Neuralgia 1037

Tic Douloureux 1038

Neuralgia of the Neck and Trunk 1039

Neuralgia of the Extremities 1040

Diseases of the Cranial Nerves 1042

Diseases of the Olfactory Nerve 1042

Diseases of the Ketina, Optic Nerve, and Tract 1043

Diseases of the Motor Nerves of the Eyeball 1047

Diseases of the Fifth Nerve 1051

Diseases of the Seventh or Facial Nerve 1052

Diseases of the Auditory Nerve 1055

Meniere's Disease 1057

Diseases of the Glosso-pharyngeal Nerve 1058

Diseases of the Pneumogastric Nerve 1058

Diseases of the Spinal Accessory Nerve 10G2

Torticollis 1062

Paralysis of the Spinal Accessory Nerve 1064

Diseases of the Hypoglossal Nerve 1064

Diseases of the Spinal Nerves 1066

Diseases of the Cervical Plexus 1066

Diseases of the Brachial Plexus 1066

Diseases of the Lumbar and Sacral Plexuses 1068

Acute Ascending Paralysis 1069



II. DISEASES OF THE SPINAL CORD AND ITS MENINGES.

Diseases of the Meninges 1071

Pachymeningitis 1071

Leptomeningitis 1072

Acute Leptomeningitis 1072

Chronic Leptomeningitis •• 1073

Hemorrliage into the Spinal Meninges 1073

Disturbances of Circulation in the Cord 1074

Hemorrhage into the Spinal Cord ' 1075

Acute Myelitis 1076

Chronic Myelitis 1078

Anterior Poliomyelitis 1080

Essential Paralysis of Children 1080

Acute, Subacute, and Chronic Poliomyelitis in Adults 1082

Abscess of the Spinal Cord 1082

Unilateral Lesion of the Spinal Cord 1083

Segmental Lesions of the Spinal Cord 1084

Locomotor Ataxia 1085

Hereditary Ataxia 1090

Spastic Paraplegia 1091

Primary Lateral Sclerosis 1092

Secondary Spastic Paralysis 1093

Congenital Spastic Paraplegia 1093

Ataxic Paraplegia 1093

Combined System Sclerosis 1094

Eeflex Paraplegia 1095

Intermittent Paraplegia • • . 1095

Multiple Sclerosis 1095

Pseudosclerosis 1098

Bulbar Paralysis . . . . _ 1098

Amyotrophic Lateral Sclerosis 1099

Syringomyelia .... 1101

Compression of the Spinal Cord ' 1102

Tumors of the Spinal Cord and its Membranes 1104

Lesions of the Conus Terminalis and the Cauda Equina 1107



14 CONTENTS.

III. DISEASES OF THE BRAIN AND ITS MENINGES.

PAGE

Diseases of the Dura Mater 1108

Diseases of the Pia 1109

Disturbances of Circulation of the Brain 1111

Hyperemia 1111

Anemia 1112

Edema of the Brain • 1112

Embolism and Thrombosis 1113

Vascular Degeneration 1116

Inflammation of the Brain 1117

Focal Encephalitis 1117

Diffuse Encephalitis 1118

Non-suppurative Encephalitis 1119

Cerebral Hemorrhage 1119

Aphasia 1124

Intracranial Growths 1128

Chronic Hydrocephalus ; . . n32

External Hydrocephalus 1132

Internal Hydrocephalus 1132

Sclerosis of the Brain 1134

General Paralysis of the Insane 1135

Cerebral Palsies of Childhood 1137

Acute Delirium 1139

IV. DISEASES OF UNKNOWN PATHOLOGY.

Epilepsy 1141

Migraine 1146

Acute Chorea 1148

Huntingdon's Chorea 1151

Rhythmic Chorea 1152

Choreiform Disorders 1152

Paramyoclonus Multiplex 1152

Chorea Electrica 1152

Fibrillary Chorea 1154

Athetosis 1154

Habit-spasm 1156

General Tic 1156

Saltatoric Spasm â–  1158

Chorea Major 1158

Paralysis Agitans 1158

Other Forms of Tremor 1160

Tetany . . . . 1160

Infantile Convulsions 1163

Occupation-Neuroses 1165

Periodic Paralysis 1167

Hysteria • 1168

Neurasthenia 1178

Acromegaly 1183

Astasia-abasia 1185

Caisson Disease • • • • 1186

V. VASOMOTOR AND TROPHIC DISORDERS.

Angioneurotic Edema H^^

Hydrops Articulorum Intermittens 1189

Raynaud's Disease 11S9

Progressive Hemiatrophy of the Face 1191

Scleroderma Diffiisura ; 1193

Morphea 1194

Ainhum 1194

Erythromelalgia 1195

Acroparesthesia 1196

Meralgia Paraesthetica 119'



CONTENTS. 15

PART IX.— DISEASES OF THE MUSCLES.

PAGE

Myositis . . r 1199

Infectious Myositis 1199

Progressive Ossifying Myositis 1200

Progressive Spinal Muscular Atrophy 1200

Progressive Neural Muscular Atrophy 1201

Pseudo-hypertrophic Muscular Paralysis ; 1203

Dystrophia Musculorum Progressiva {Erb) 1204

Dystrophia Musculorum Progressiva (Dejerine-Landouzy) 1206