TABACUM.
EYE.
►
Objective. ► Dark redness
around the eyes, [88]. ► Eyes staring, [17], [41],
[166]. ►
Eyes fixed, [70]. ► Eyes turned upward, [88]. ►
Sparkling eyes, [33]. ► Eyes sunken and seeming small, [34]. ►
Eyes lost their brilliancy, [37]. ► Eyes listless and heavy, [69]. ► Eye
had a haggard appearance, [117]. [190.] ►
The eyes are dejected, without brilliancy, deeply sunk in the orbit, [95]. ►
Eyes closed, [80]. ► Closure of the eyes and photophobia, [3]. ►
Injected eyes, [160]. ► Eyes highly injected cornea vascular and
semiopaque, [56]. ► Cornea dim, covered with mucus, [127]. ►
Redness of the cornea, with some photophobia; if she looks towards the
light she is obliged to close the eyes (second day), [2]. ► Decided
exophthalmus in consequence of the weakness of the recti muscles, [138]. ►
The ophthamoscope demonstrates an atropic condition of both optic
nerves, the inner (apparent) half of each, seen in the reversed image,
being quite white and non vascular; the outer part being redder, and
more vascular than normal, [115]. ► An examination of the numerous cases
reported by Dr. Hutchinson reveals the following conditions common to
all the cases; white or gray atrophy of the optic nerve (in a few cases
the color was bluish-white), commencing at the outer part of the disk,
usually with a sharply-defined margin and with diminishing size of
retinal vessels; in a few cases there were signs of congestion, and in
two cases neuritis with indistinct outline of disk. In some cases the
centre of disk was found depressed and atrophied. It is noteworthy that
the left eye became first affected and was more affected than the right
in nearly every case. The vision failed suddenly in a few, rapidly in
many; in others the progress of the disease was fitful. Some complained
of flashes of light, others of fog, but most simply of indistinctness of
vision. As the atrophy advanced the pupils dilated and became insensible
to light; and in a few cases divergence of the eyes ensued, [174]. [200.] ► By
means of the ophthalmoscope, both optic nerves appear of brilliant white
color, their areas being enlarged, and their outlines clearly defined, [113]. ►
The fundus of each eye seems quite normal, with the exception of the
optic discs, which appear too large, and irregularly circular, the
tissue being quite of tendinous whiteness, [114]. ►
Subjective. ► Tight
tension and drawing, extending from the left eye down into the upper jaw
(first day), [2]. ► The eyes are painful, as after long
weeping (first day), [2]. ► Pain in the eyes and flickering, on
looking intently at an object (second day), [2]. ►
Pressure in the right eye, which extended into the occiput (eighth day),
[2]. ►
Pressive sensation in the eyes, especially on moving them, [1]. ►
Pressure in the eyes, [48]. ► Feeling as if a hair were in the right
eye, towards evening (fourteenth day), [2].
► Heat in the eyes, with lachrymation
(fifth day), [2]. [210.] ►
Burning in the eyes, [76]. ► Burning in the eyes, in the evening,
while reading, [4a]. ► Some stitches in the left eye, after a
few minutes, [4]. ► A kind of burning, with a sensation of
coldness in the eye (first day), [2].
► Orbit. ►
Numbness of orbicularis oris (frequently immediately after taking a chew
of tobacco), [137]. ► Pressive sensation, deep in the orbits,
with weakness of the eyes and vertigo, [1].
► Dull pain in the base of the
orbits, with redness of the eyes, [94].
► Sticking above the right eye,
extending from the outer margin of the eyebrow to the inner, into the
orbit (first day), [2]. ► Some fine stitches in the upper part of
the orbit (first day), [2]. ► The orbits are heated (first day), [2]. ►
Lachrymation. [220.] ► Lachrymation, [94]. ►
Lachrymation, on looking intently at anything (second day), [2]. ►
Lid. ► Squinting, when
trying to read, [96]. ► Twitching of the left upper lid (after
one hour), [4b]. ► Eyelids in persistent motion, half
voluntary, [148]. ► Eyelids granular, [56]. ►
Contraction of the lids, with a biting pain in the eyeballs (after seven
minutes), [2]. ► Contraction of the lids and lachrymation
(first day), [2]. ► Spasmodic contraction of the lids and
masseter muscles; inability to open the mouth, [127]. ►
Violent itching in the inner canthus of the right eye, with burning
after rubbing (after half an hour), [1].
► Conjunctiva. [230.] ►
Great injection of the conjunctiva, [127].
► Conjunctiva injected, [37]. ►
Frequent sensation of a foreign body in the conjunctiva, apparently
caused by the irritating action of the smoke, [129]. ► Ball.
► Pressure in the eyeballs (after two
hours), [4b]. ► Violent digging-drawing pains in the
eyeballs and temporal regions, aggravated by motion, with distended
vessels and increased throbbing in them, [4d].
► Heat in the eyeball (after five
minutes), [2]. ► Pupil. ►
Pupils dilated, [10], [40], [88],
etc. ► Pupils dilated, fixed, and
staring, [130]. ► Both pupils are rather large, but the
motion of the irides are active, [113].
► Both pupils rather large, and
motions of the irides sluggish, [115].
[240.] ►
Pupils considerably dilated and not much influenced by light, [114]. ►
Pupils greatly dilated, [41], [33a], [148].
► Pupils greatly dilated and
insensible, [79], [117], [119].
► Pupils unnaturally dilated, on the approach of light, [89]. ►
Pupils fully dilated and quite insensible to the light of a candle held
close to the eye (third day), [121].
► Pupils irregularly dilated, [161]. ►
Contraction of the pupils, [30], [31], [160].
► Pupils much contracted, [33]. ►
Pupils contracted, irresponsive to light, [126].
► Pupils decidedly contracted, but
slightly sensitive to light, [168].
[250.] ►
The right pupil exceedingly contracted; the left was much larger than
usual, and had lost its circular form; both were unaffected on the
approach of light, [37]. ► Vision. ►
Vision weak, [107]. ► Dimness before the eyes, as from mucus
(first day), [2]. ► Indistinct vision for some minutes
(twelfth day), [2]. ► Objects are not seen as distinctly as
usual (second day), [2]. ► Obscuration of vision, [68]. ►
Eyesight affected, [109]. ► Sight failing for six weeks, being alike
in the two eyes. Vision = 16 Jäger; not improved by glasses, [172]. ►
For an uncertain time he has noticed his sight to be gradually failing,
until now it has become so imperfect that is unable to attend to his
business, [114]. ► For a long period his sight has gradually
failed, till he can only see to read, for a short time, characters of
one-third of an inch, [113]. [260.] ►
About nine months since his sight began to fail, and has continued to
get worse to the present time. He can only see to read No. 18 test-type
(canon) with his left eye, and with the right, No. 16 (two-line great
primer), word by word; and distant objects are equally indistinct, [113]. ►
Slight failing slightly for twelve months, the defect being most
apparent in a bright light (? central scotoma). With his glasses he
could, however, still read the newspaper; but his distant vision,
unaided by glasses, was only 40 Snellen, at fifteen feet. Optic discs
definitely pale at their temporal portion; no other changes, [170]. ►
Complained of failure of sight for three months, and in particular that
“things looked black” (probably central scotoma). Sight did
not vary on different ways. Vision-right, letters of Jäger and 50
Snellen, barely at twenty feet. Slight hypermetropia, but sight not
improved by glasses. Optic discs pale at the temporal portion; no other
changes. The physiological cup very large in each, and in one eye
spontaneous pulsation of the vein, [172].
► Complained for three years past
that he had been unable to find suitable spectacles. The sight had
failed gradually, but he believed that it had remained stationary for
about six months prior to his admission. Vision, without glasses, each
eye = 18 Jäger, and not 200 Suellen, at twenty feet. Pupils active, the
left rather larger than the right. Is using strong glasses (+5), but
they are of little service. Optic discs definitely pale all over, but
much more so on the yellow-spot side. No other changes, unless a slight
mistiness of the retina around the discs, [171].
► Vision 1/20; nothing in the
distance. Discs decidedly whiter at the outer than at the inner part.
Dimness came on suddenly; as he was walking, “a lot of gnats seemed
to come before the sight;” sight has not got much worse since that
time, [174]. ►
Vision 20/200. O. Ds. congested and somewhat swollen and slightly hazy;
vessels not obscured, [174]. ► Failure began six years ago; right failed
two or three weeks before left. It began as if a large drop of water was
before the eye; this increased in size; also a floating muscæ before
each. Discs rather pale, left universally, right only on yellow spot
side, [114]. ►
Amblyopia, accompanied by intolerance of light, especially blue. Very
slight pressure on eyeballs makes vision worse, [174]. ► She
becomes almost blind for a few minutes, towards evening; it seems as
though a veil were before the eyes; on rubbing the eyes it becomes worse
(third day), [2]. ► His sight was so imperfect that he could
not see small objects, even when near him, [53]. [270.] ► Blindness almost complete, [117]. ►
Darkness before the eyes, [10]. ► Vanishing of sight, [137]. ►
Vanishing of vision, on looking at a white object, [1]. ►
Complains of seeing double whenever he uses the smallest amount of
tobacco; he says that in ten minutes after smoking a part of a segar, or
after chewing a little tobacco, he begins to see double, and a kind of
dimness or confusion of sight, as if black dots filled his visual field
comes on. When he abstains from tobacco for awhile he improves, and his
vision becomes single and clear. The tobacco condition is always
aggravated, in a very marked degree, by any kind of stimulant. I found,
on examining him, vision in each eye 21/100. Insufficiency of the
internal recti, so that behind a screen there is a divergence of one and
a half lines. Double vision for distant objects; monocular vision for
near objects; cannot diverge both eyes on it. Optic disk pale, partly
atrophied, eye, otherwise normal, [141].
► Increased presbyopia, [129]. ►
Flickering before the eyes (first day), [2].
► Fog before the vision, [126]. ►
Black spots before the eyes, [78].
► More black points than usual before
the eyes, on looking (first day), [2].
[280.] ►
The disturbance of vision resulting from the abuse of tobacco cannot be
distinguished from that caused by alcoholic drinks; we find an
irregular, variable irritation and irritability of the retina, sometimes
central scotoma, with improved vision in the dark; diminished extent of
accommodation (one of the first symptoms); at times increased
intraocular pressure; pupils moderately dilated and sluggish, [138].
EAR.
►
The ears are red and burning hot (first day), [2]. ► Tearing
in front of and beneath the right ear (second day), [1]. ►
Sticking behind the left ear, with somewhat hard red swelling (sixth
day), [2]. ►
Pains within the ear, on touching the outer ear (sixth day), [2]. ►
Violent earache twelve months ago, with giddiness and overpowering
sleepiness, [174]. ► Painful gnawing in the right ear (after
five minutes), [1]. ► Some painful tearing in the right ear
(first day), [1]. ► Jerking tearing in the right ear and in
front of it, externally (second day), [1].
► Fine tearing and sticking in the
lobule of the right ear, [1]. [290.] ►
Tickling in the ears (third day), [2].
► Sticking in the ears, during music
(fifth day), [2]. ► Stitches in the ears, especially in the
open air (second day), [2]. ► Stitches in the ears (first, third,
fourth, fifth, sixth, and ninth days), [2].
► Sensation as if something stopped
the ears (second day), [2]. ► Ears seem stopped, especially the right
(third and fourth days), [4a]. ► Hearing. ►
Hyperæsthesia of the acousticus against music and loud talking, [131]. ►
Sensitive to the slightest noise, [139].
► Deafness not complete, but hearing
very dull, [117]. ► Noise in ears occasionally, [167]. [300.] ►
After sunset, indoors, fluttering in right ear, both heard and felt
(first day), [152]. ► Ringing in the ears, [40]. ►
Roaring in the ears, [2], [78], [96],
[126]. ►
Roaring and rushing in the ears, [42].
► Roaring in the ears for several
days, especially in the morning, [4a],
[4b]. ►
Humming in the ears, aggravated by loud noise or by going into the open
air, for several days, [4a].
NOSE.
►
Ulceration of the nose, [159]. ► Sneezing several times, after which the
head felt freer (fourth day), [2].
► Constant desire to sneeze, [164]. ►
Fluent catarrh (first, second, fourth, and fifth days), [2]. [310.] ► Fluent catarrh, with acute smell (fourth
day), [2]. ►
Dry catarrh (third day), [2]. ► Constant discharge of watery mucus from
the nose, [36]. ► Twelve had frequent epistaxis, [143]. ►
Bleeding from the nose and lungs, [76].
► Nose stopped (third and eighth
days), [2]. ►
Dryness of the nose, [1], [76]. ►
Sensation of pressure and formication in the Schneiderian membrane, [48]. ►
Drawing pain in both angles of the lower jaw (third day), [2]. ►
Crawling in the nostrils (fourth day), [2].
[320.] ►
Burning under the nose, as from violent fluent coryza (tenth day), [2]. ►
Sudden burning in the left nostril (first day), [1]. ► Smell.
► Hyperæsthesia of the olfactories,
especially against tobacco and cologne water, [131]. ► Very
acute fine smell in the morning (second day), [2]. ►
Diminished smell (first and third days), [2].
► Smell very weak; but she is very
sensitive to the odor of wine, so that from an empty wineglass, standing
in the room, she became almost befogged (fourth day), [2].
FACE.
►
Objective. ► Muscles of
the left side of the face permanently contracted, as in apoplexy, [17]. ►
Face emaciated, pale, and stupid-looking, [117].
► Expression of the countenance that
of stupefaction, [70]. ► Altered expression of face, etc., [94]. [330.]
► Features pinched and contorted, [106]. ►
Austere gloomy expression, as if indifferent to everything on account of
being exceedingly discouraged, [95].
► Expression stupid, [107], [108].
► Features drawn, [105]. ► *Features
sunken (third day), [121].
► Countenance indicating lassitude
and exhaustion, [140]. ► Anæmic or cachectic look, [109]. ► A
peculiar alteration of the complexion; this is not a mere want of color,
an ordinary pallor; it is a dullish gray appearance of the face,
partaking both of a chlorotic tinge, and of that belonging to certain
cachexias. It imparts to the countenance a characteristic look by which
a practiced eye can recognize those who have been engaged beyond a
certain length of time in the manufacture of tobacco; for it must be
remarked that this facial aspect is only to be observed in the case of
veteran workers, [90]. ► *Pale face, [93], [95].
► *Face very pale, [32], [35a].
[340.] ►
*Face deathly pale, [10],
[175]. ►►
*Deathly paleness with the nausea, [1]. ► *Face pale
and contracted, [70]. ►► *Face pale, collapsed, covered with cold
sweat, [88]. ► Looks pale and depressed, [122]. ► *Pale
face, with drawn features and deeply sunken eyes, surrounded by blue
rings, [77]. ► Suddenly became pale, with lividity of
the lips, and all the appearances indicating syncope, [83]. ►
Sickly-looking, thin, and pale as a ghost, [81]. ►
Pale-gray color of the face, [76].
► Wan, or rather yellowish
complexion, resembling the carcinomatous physiognomy, [95]. [350.] ► Face red and swollen, [151]. ► Face
alternately red and earthy pale, [38].
► Dark-red face, [33]. ►
Countenance suffused with a deep livid color, [37]. ► Face
brownish red, [35]. ► Face slightly reddish brown, [34]. ►
Face bluish and drawn, [17]. ► Face violet, [36]. ►
Subjective. ► *Violent tearing
in the bones of the face and teeth, in the evening (fifth
day), [1]. ►
Very transient feeling through the middle of the face, as though dead
(after eight hours), [4c]. ► Cheeks. [360.]
► Cheek sallow and sunken, [69]. ►
Circumscribed redness of the cheeks, especially of the left; this
symptom was so prominent that his wife could always tell by it when he
had been smoking to excess, [147].
► Lips. ►
Owing to the smoking of tobacco, cancer of the lips presents itself in
twenty-seven times out of a hundred cases among men, and one and a half
in a hundred among women, [86]. ► Lips cracked, painful (eighth day), [2]. ►
Upper lip rough and dry, with burning sensation (tenth day), [2]. ►
The lips are livid, [93]. ► Lips pale and bloodless, [166]. ► Lips
pale, [167]. ►
Upper lip feels elongated (after smoking half a segar, indoors), [163]. ►
Chin. ► Contraction of the
jaws, [33]. [370.] ►
Violent contraction of both jaws, [34].
► Lower jaw dropped, [77]. ►
Painful drawing in the right side of the lower jaw (second day), [1]. ►
A stitch in the articulation of the jaw, when laughing (third day), [2].® 2000
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