PETROLEUM.
INFERIOR EXTREMITIES.
► Pain and stiffness in the lower
extremities (after five days), [1].
► The lower extremities are heavy, [1]. ►
Sense of heaviness in the lower extremities (second day), [16]. ► Great
heaviness of the lower extremities; they totter while walking, [1]. ►
Drawing pain in the left lower extremity, [1].
► Uneasiness in the lower
extremities; was constantly obliged to move them back and forth, [1]. ►
Cramp in the calves, thighs, and feet, all day, [1]. ►
When putting right foot to ground in
walking, sudden sharp pain in outer
side of right thigh, but most felt
at outer side of hip and outer and anterior part of knee; it came on
every time I put my right foot to
the ground, making me limp; after a few minutes was only felt in right
knee (when walking as before); afterwards, when sitting and raising right leg to cross it over left, pain in right knee; all this lasted five to ten
minutes (10 A.M., sixth day), [5].
[690.] ►
Constant paralytic sticklike asleep sensation from above the knee down
to the foot, while walking and sitting, [1].
► Hip and Thigh. ► Pressure in the hips, while sitting, [1]. ►
Transient drawing pain in the left hip-joint (after seven days), [1]. ►
Pain, as from a sprain, in the hips, near the sacrum, on motion, [1]. ►
Gouty pain in the hip, knee, and ankle-joints, at night, [1]. ► *The
thighs are stiff and heavy, on walking, [1].
► Tensive pressure in the thigh,
posteriorly above the hollow of the knee, [1].
► Transient jerking pain in the left
thigh (after sixteen days), [1]. ► Pain in the left thigh, on motion; she
could not rise from a seat on account of it (after eight days), [1]. ►
Painful tearing in the thigh, during the menses, [1]. [700.]
► When walking quickly, the muscles
of left upper thigh (inner side,
rather posteriorly) felt tight for a few minutes, in morning (eighteenth
day), [5]. ►
Cramp in the thighs all day, [1]. ► Knees. ►
*Stiffness in the knees and ankles, [1].
► *Stiffness of the knees and legs, [1]. ►
Stiffness in the hollows of the knees and in the legs (after nine days),
[1]. ►
Painful weakness in the knees, in the morning, immediately after rising
from bed, [1]. ► Weakness of the right knee while walking,
disappearing on continuing to walk, [1].
► Cracking in the knee, as if a
cartilage slipped, with pain on moving it, [1]. ► Tension
in the knee on the first step after sitting, [1]. ► Tension
and burning in the hollows of the knees, [1].
[710.] ►
Tearing in the left knee, in the evening; she could not stretch it out, [1]. ►
Sticking in the right knee-joint, as from a sprain, in the evening,
while walking and lying down, not while sitting, [1]. ► Stitches in
the knees, [1]. ► Cramp in the left knee, while walking, [1]. ►
Cramplike pain in the knee-joint, [1].
► Pulling pain, with tickling in the
knee-joints, [1]. ► Bruised pain in the knees and tibiæ, [1]. ►
Pain in the patella, as after a blow, [1].
► Frequently a cold spot on the knee,
from which a cold stream extended through the whole extremity, [1]. ►
Leg and Ankle. ► Places on
the lower legs painful to touch, during the menses, [1]. [720.] ► Tearing, sticking, and pressure on the
leg, in a spot formerly ulcerated, [1].
► The lower leg, and especially the
ankle, seemed surrounded by an iron band, [1].
► Jerking in the right leg, from the
knee-joint down, painful only when walking, [1]. ►
Paralytic pressive drawing in the left tibia and forearm, along the
extensor surfaces (after twenty-four hours), [1]. ►
Cramplike drawing in the right tibia, [1].
► Violent cramp in the legs,
immediately, [1]. ► Cramp in the calves, at night, [1]. ►
Pain in the tibiæ, on walking, [1].
► Pain, when walking, in muscles on
outer side of right lower leg, very
near the ankle; to-day, also pain there on flexing and extending right
foot or leg (thirteenth and fourteenth days), [3]. ►
Cracking in the ankle on moving the foot, [1].
[730.] ►
Cramp in the tendo Achillis, at night, [1].
► Foot and Toes. ► Swelling of the feet for several days, [1]. ►
Stiffness of the foot and, on moving it, cramp in the sole, [1]. ►
Heaviness of the feet and whole body, [1]. ►
Pressive pain on the foot, and a weakness below the external malleolus, [1]. ►
Violent drawing and jerking in the feet (after nine days), [1]. ►
Drawing in the foot, for a moment, while walking, [1]. ► Cramp
in the feet, with tension of the tendons of the dorsal surface (after
three weeks), [13]. ► Tension in the foot, when walking (after
seven days), [1]. ► Swollen sensation in the feet, [1]. [740.]
► Swelling and heat in the anterior
portion of the sole of the foot, two evenings in succession, lasting an
hour, with burning, [1]. ► Cramp in the soles, at night (after
eight, and eleven days), [1]. ► Tearing in the heels, in the morning, on
waking, [1]. ►
Throbbing in the soles of the feet, worse when he became quiet, [1]. ►
Tearing drawing in the ball of the right great toe, [1]. ►
Pressure in the right heel, [1]. ► *Stitches, as from a splinter, in the heel,
[1]. ►
The toes are drawn inward by a cramp, in the evening, [1]. ►
Pressure in the ball of the great toe as if it had been frozen, or as if
an iron band were about it, [1]. ► *Burning pain in the corn, [1]. [750.]
► *Stitches in the corns, [1]. ►
Pain, as from a sprain, in the first joints of the toes, on stepping, [1]. ►
Stitches, as from needles, crossing in different directions through the
toes, [1].
GENERALITIES.
►
Visible emaciation, with good appetite, [1].
► Loss of flesh (in chronic cases), [22]. ►
The parts of the body upon which he was lying became very red, [8]. ►
General convulsive movements (after two hours), [14]. ►
Violent tetanic spasms; the patient suffered frightful pains, at times
followed by general rigidity; accompanied by incessant cries; after ten
minutes’ quiet, the paroxysms would return with renewed violence; during
this no liquid could be taken, and six men were unable to hold the
patient on account of the violence of the paroxysms, [15]. ►
Twitchings in sleep at noon and at night, [1].
► Trembling, in the morning, on
rising, [1]. [760.] ►
After riding, descending from a carriage, and walking up and down in the
open air, sudden violent nausea and so great weakness that she sank
down, with inclination to stool, very cold sweat on the head, throat,
and chest, and complete paleness of the face and blue rings around the
eyes; after a stool violent chill, and afterwards, in the evening, some
heat, [1]. ►
Restless (after half an hour), [9].
► Very restless (after two hours), [14]. ►
Patient very restless, tossing to and fro, with constant cries (second
day), [7]. ►
Restless; he does not know what to do with himself, [1]. ►
Constant desire to change the position (after two hours), [14]. ► Night
restless (first night), [16]. ► Very weary, in the morning, in bed;
the limbs feel bruised (after eleven days), [1]. ►
Overpowering weariness, [1]. ► Weariness and bruised sensation in the
limbs, especially in the evening, on lying down, [1]. [770.] ► Great weakness, without any cause
(after fifteen days), [1]. ► Great weakness, after a walk (after
eleven days), [1]. ► Great weakness and dizziness after a
stool; the vision vanishes, and he is obliged to close his eyes in order
to recover himself, [1]. ► Very weak, in the morning, on rising; she
was obliged to sit still for half an hour to coldness herself, [1]. ►
So weak that the limbs were painful on account of weariness, [1]. ►
So weak that she was obliged to sleep while sitting, [1]. ► A kind
of nervous weakness of the whole body, after a short walk, [1]. ►
Weakness of the body, and heaviness of the lower extremities, [1]. ►
He easily became weary from a slight exertion, [1]. ► The
weakness that he had frequently experienced disappeared after eating, [1]. [780.]
► Physical weakness and prostration,
during the menses, [1]. ► Exhaustion of the whole body, in the
morning; he could only with effort walk about the room, and was obliged
to lie down again, [1]. ► Powerlessness (after seven days), [1]. ►
Sudden, almost momentary, loss of power, even a faintness, with paleness
of the face and sudden nausea, quickly coming and going, lasting a
quarter of an hour (after four, and five days), [1]. ► Feeling
of faintness, in the morning, on entering the house after going out; he
felt sick, heat mounted into the face, and a veil seemed to come before
the eyes, with a feeling of compression in the temples; he was near
fainting, but he gathered himself up, and everything passed off in three
minutes, [1]. ► Feeling of faintness before an
approaching storm, [1]. ► A slight vexation affects her very much;
the taste becomes bitter; the appetite is lost; a short walk then
affects her; she was frequent diarrhœa, orgasm of blood on falling
asleep, eructations and nausea, restless sleep, and the next morning a
trembling and waving through the whole body, diarrhœa, and an internal
misery, so that tears constantly stand in her eyes (after nine days), [1]. ►
Everything seems too hard to her, while sitting and lying, [1]. ►
Takes cold easily; she becomes faint on account of it, [1]. ►
The open air affected him, while walking; he was averse to it, [1]. [790.]
► Dread of the open air, [1]. ►
Dared not repeat the dose; patient could not leave the bed until 11
A.M.; at 12, noon, symptoms all gone (third day), [12]. ► (The
chilblains and the cold feet, for which the Petroleum had been given,
disappeared), (after three days), [4].
► Sick, fearful, weeping at trifles, [1]. ►
An indescribable feeling of sickness, with great anxiety (after half an
hour), [9]. ►
Tremulous tension through the whole body, with apprehension and
ill-humor and cracking in the joints, [1].
► A general intolerable sensation, as
if severe illness were impending, with a tremulous condition and great
weakness (after three days), [1]. ► Taking cold causes headache,
lachrymation, inflammation of the throat, cough, and coryza (after two
days), [1]. ►
Pain, as from a sprain, in the arms, chest, and back, in the forenoon
(after eighteen days), [1]. ► Felt the least pain when lying down, [3]. [800.] ►
Weary pain in the shoulders, spine, and loins, [1]. ► Sharp
jerking pressure in one or another part (after sixteen days), [1]. ►
Drawing pressure here and there in the bones, not relieved by walking in
the open air (after three days), [1].
► Frequent drawing in the trunk, [1]. ►
The whole body jerked together, in the evening, in bed, while still
awake, [1]. ►
Stitches here and there in the body (second and third days), [1].
SKIN.
►
Cyanosis and marble-like coldness of the whole body, especially of the
extremities, [7]. ► *Unhealthy skin; even slight wounds suppurate
and spread, [1]. ► Eruptions, Dry. ►
Yellow spots on the right arm (after six days), [1]. ► *Skin of
the hands fissured (after thirteen days), [1]. [810.] ► Skin of the hands cracked and rough, [1]. ►
Redness and moist soreness on the upper and inner portion of the lower
extremities (after twelve days), [1].
► A large red spot on the left knee,
afterwards with pressive pain, [1].
► Papular eruption about the eyes, [1]. ►
Papular eruption on the eyelids, [1].
► *Eruption on the outer ear,
lasting thirty days, [1]. ► Papular eruption on the right ear,
disappearing in the evening (after five days), [1]. ► Papular
eruption on the face, [1]. ► On left
cheek, at anterior border of whiskers, a pimple, painful to touch
(eleventh day), [5]. ► Papular eruption at the corner of the mouth,
with a sticking pain, [1]. [820.] ►
Scabby pimples above the upper lip, with sticking pain when not touched,
[1]. ►
Eruption on the lips, [1]. ► Papular eruption on the abdomen, burning
when touched, [1]. ► Small itching pimples on the angle
between the scrotum and thigh, [1].
► Pimples, that itch very much, on
both legs, [1]. ► Greatly inflamed papular eruption above
the knee, [1]. ► *Eruption between the toes, [1]. ►
Eruption of nodules and pimples on the exposed skin, speedily breaking
out on those who are, for the first time, engaged in the manufacture,
lasting for a few weeks or months, and then generally diminishing or
disappearing. In a few exceptional individuals the eruption does not
disappear, but assuming a chronic character, produces so marked and
prolonged an affection of the skin that the general health becomes
impaired, and the cessation of this employment becomes a necessity. In
the acute form of the eruption,
which soon appears in those exposed to the influence of crude paraffin,
the skin of the hands, wrists, arms, feet, and legs becomes covered with
a rash of bright-red nodules, closely approximate to each other, and
usually largest and most numerous on the wrists, or wherever the dress
tightly embraces the skin; the dorsal aspects of the parts being most
severely affected, and the palms of the hands and soles of the feet
enjoying a complete immunity; similar nodules arise, though to a less
extent, on the face, neck, and other parts of the body to which the oily
matters find access; on examining minutely the skin of those affected in
this way, the following are the leading peculiarities of the eruption:
the bright-red nodules, hard to the touch, tender on pressure, varying
little in size, which is about equal to that of a grain of barley, are
of a rounded form, and consist each of a single hair-follicle with the
parts immediately surrounding it, which are inflamed, indurated, and
reddened; the hair emerges from the very summit of the nodule, and the
orifice of the hair-follicle is much enlarged and easily visible to the
naked eye as an aperture of a magnitude similar to that of a pinhole in
a card; the dilatation extends to the deeper part of the follicle, which
forms the kernel of the inflamed knot, the retention of its contents
evidently contributing to the inflammatory induration around; the gaping
mouth of the follicle exhibits masses of cast-off epithelial scales, dry
and friable instead of greasy and tenacious; the nodule has little of
the tendency to run on to suppuration observable in an ordinary
comedone, and its contents cannot be squeezed out; on the contrary, the
redness and induration, after remaining for some little time, gradually
diminish, and finally disappear, leaving the hair-follicle enlarged, and
its mouth gaping so as to exhibit the retained epithelial masses, these
latter being rendered more distinct by continued retention and
accumulation of dirt; in fact, the acute
form of the eruption consists of successive crops of these nodules,
which are at the same time seen in all stages of their growth, full
development, and subsidence; while the skin between them, studded with
the black gaping mouths of such follicles as have already passed through
or are about to undergo the process, retains, contrary to what is
observed in the chronic form of the malady, its natural pliancy and
elasticity. In all paraffin-workers patency and enlargement of the
hair-follicles continue, to some extent, so long as they are engaged in
this manufacture, and the black dots in the skin of their hands and face
strike the eye of the observer at once; men with dark complexions and
strong hair being especially deformed in this way, while fair
complexions and light or reddish hair escape comparatively unaffected; a
few exceptional individuals, with swarthy complexions and hairy skins,
suffer so much from an exaggerated patency of the follicles that they
are compelled to quit their occupation and seek a more suitable calling.
When the disease assumes a chronic
form it exhibits the following characteristics; the backs of the feet
and toes, the dorsum of the hand, and the backs of the fingers between,
but not over, the joints, exhibit a peculiar honeycombed appearance of
the skin, which is elevated, thickened, and inelastic, so as to prevent
or render difficult and painful the flexion of the fingers and hands;
these elevated honeycombed patches are of natural color, and not
inflamed (except where the isolated papule exhibits the appearance
described under the acute form), but consists of densely grouped arrays
of hair-follicles, with the indurated cutis between and around them, the
follicles packed with dry brittle accumulations of epithelial scales, so
extensive as to be easily visible through the dilated mouths of the
follicles, these latter being large enough to admit the extremity of an
ordinary probe; the hairs themselves have disappeared from these
patches, having probably become atrophic from the pressure of the
epidermic masses, while cracks and bleeding fissures traverse the
indurated parts, and in rare instances a follicular abscess gives
variety to the picture; the knuckles of the fingers and toes, the palms
of the hands, and the soles of the feet remain unaffected by the
disease; in the subjects of the chronic malady the complexion is pale
and the tongue foul, while the loss of flesh betrays the effects of the
sleepless nights caused by the constant irritation and pain of the skin
of the affected extremities, [22].
► Eruptions, Moist. ► On the front of the thighs and legs, and
the backs of the forearms, there is a vesicular eruption; it is
everywhere similar in character; on the thighs there are some thickened
patches of cuticle and sordes covering part of the eruption; the
vesicles are aggregated in places and isolated at the margins; there is
no itching in the affected parts, but some irritation is complained of
(after three weeks); two days later, has had two baths; some of the
cuticle and sordid matter is removed from the thigh, and the nature of
the disease is better seen; some of the vesicles seem inclined to be
pustular at their summits; a hair is seen in the centre of each of them,
[21]. ►
*Blisters on the heel, [1].
► Eruptions, Pustular. [830.] ► *The
patient was unable to bend the head forward or to turn it on account of
the pain caused by the development of abscesses on the nape of the neck;
these furuncles were associated with a moist eruption on the margin of
the hair of the occiput, like eczema; one boil after another opened and
discharged, and the vertigo and other heat symptoms disappeared,
[13]. ►
A pustule on the nose (after seven days), [1].
► A pustule on the right wing of the
nose, painful to touch, [1]. ► A pustule, with a red areola, internally,
on the lower portion of the septum of the nose, [1]. ►
Eruption of small pustules on the face, [1].
► A pustule on the chin, painful to
touch, [1]. ►
Sticking in an ulcer, [1]. ► A boil on the upper lip, [1]. ► Two
boils on the anus, that disappeared without opening (after three weeks),
[13]. ►
A boil in the axilla, with pain more tearing than sticking, threatening
to suppurate, [1]. [840.] ►
On the forearm a boil, with sticking pain, when touched, [1]. ► A large
boil on the thigh (after twenty-five days), [1]. ► Violent
sticking in a painless soft boil, that had existed for several years, on
the upper and inner portion of the right thigh, [1]. ► Sensations.
► *Painful sensitiveness of the skin of
the whole body; all clothing is painful, [1]. ► The
skin on the left side of the back is painful, as if abraded, [1]. ►
Burning over the whole body, while walking, [1]. ► Burning
in the hands, in the morning, on waking (after six days), [1]. ► Burning
in the palms of the hands (after four days), [1]. ► Burning
itching on the external malleolus, [1].
► *Itching of the lids; he was obliged to
rub them, [1]. [850.] ►
Itching in the skin, with a shaking chill, [1]. ► Itching
over the whole body, in the morning, while still half awake, [1]. ►
*Itching of the tip of the nose, [1]. ► Itching
here and there in the face (from the vapor), [1]. ► *The
nipples itch and have a mealy coating, [1]. ► Itching
in the bend of the elbow (after twelve days), [1]. ► Itching
in the palms of the hands (after sixteen days), [1]. ► Itching
on the finger-joints, [1]. ► Itching in a red spot on the upper and
inner side of the thigh, [1]. ► Itching stitches over the whole body,
with great anxiety, at 7 P.M., [1].® 2000
Article