SECALE CORNUTUM.
RESPIRATORY ORGANS.
► Voice. ►
*The voice became weak, unintelligible, stammering, [64]. ►
The voice is weak and unintelligible, stammering, [61]. ► Cough and
Expectoration. [560.] ► Loose cough, with easy expectoration of
much tenacious mucus, [109]. ► *Blood was sometimes expectorated during violent
efforts to breathe, [64].
► Respiration. ► Respiration costal (first day), [155]. ►
Respirations 15, [125a]. ► Respirations, 21 (before experiment); 20
(after one hour), [126]. ► Respirations, 19 (before experiment); 8,
slow and small (after three hours), [94].
► Respiration fell from 18 to 13, [106], [108].
► Difficulty of breathing caused by
contractions of the diaphragm, [145].
► *Respiration difficult, [64]. ►
*Difficult respiration, as if a weight were lying on the chest, in
consequence of which he was obliged to take deep and forced inspirations
(after one hour), [126a]. [570.] ►
*Laborious breathing, [115],
[149]. ►►
*Constant sighing (sixth day), [155].
► The respirations decreased from 18
to 13 per minute, [108]. ►► *Anxious respiration, [64]. ►
*Anxious difficult respiration, [42]. ►►
*Anxious breath, sighing, and hiccough, [61]. ► Most
violent asthma appeared after the suppression of the itch, and ceased on
the reappearance of the eruption, [79].
► *Dyspnœa, [42], [122].
► Great dyspnœa before death, [138].
CHEST.
►
Oppression of the chest, [47], [50]. [580.]
► Sharp pressure in the sternum, [109]. ►
Pressure in the chest, [132]. ► Pain in thorax, [99]. ► The
whole upper portion of the left side of the chest, with the sternum, was
painful, [110]. ► Suppression of milk; this effect has been
noticed in six nursing women, [154].
► The milk will not flow from the breast
of a nursing woman, [42].
HEART AND PULSE.
►
Heart. ► Præcordial
tenderness, but no fulness, [157].
► The sounds over the præcordial
region are perfectly normal, but convey an impression of slowness of
time-taking action, [131]. ► Pressure in the præcordial region, [64]. ►
Painful sensation in the præcordial region, [64]. [590.] ► Great præcordial anxiety, [100]. ►
Præcordial anxiety, [153]. ► Disagreeable sensation in the præcordial
region, [67]. ► Spasmodic throbbing of the heart, [64]. ►
Violent palpitation, with contracted, frequently intermittent pulse, in
an acute form of poisoning, [61]. ► Palpitation of the heart (after half an
hour), [104]. ► Distressing palpitation, [110]. ► Her
heart she described as having beat very rapidly for a long time, and her
breathing as having been exceedingly laborious. After some hours the
heart beat more quietly for a time, and then fell into inordinate
activity as before; intermitting in this manner throughout the day,
during the earlier part of which she lay perfectly motionless, but
without pain, recovering gradually towards evening the suspended animal
function, [45]. ► Pulse. ►
Rapid pulse, [127b], [128b]. ►
Pulse rapid, small, hard, [149]. [600.] ► Pulse rather quick, but very small and
feeble, [157]. ► Pulse very feverish, [48]. ► Rapid
pulse, [153]. ► Accelerated pulse, followed by
sleepiness, [148]. ► Pulse accelerated, [83]. ► Pulse
quick, [151]. ►► *Pulse small, very rapid, contracted,
frequently intermittent, [64].
► Pulse 112, [87]. ► Pulse
90 and small, [135]. ► It appeared to excite rather than
diminish the pulse, in twenty-five or thirty minutes; in fifteen or
twenty minutes, however, the pulse lost a few beats in a minute, but not
to the same extent when given in larger doses, [103]. [610.]
► *Pulse weak and rapid, [119]. ►
Fall in the pulse, [170]. ► Pulse weak and slow, diminished by 7
beats, [122]. ► Pulse slow, falling 75 to 52, [106]. ►
Pulse small and contracted, [145].
► Pulse small, soft, and slow, [146]. ►
*Pulse small, [138]. ► *Pulse small, slow, and suppressed, [100]. ►
Slowness of the circulation, [85].
► Pulse small, contracted, [54]. [620.]
► Pulse slow, 32 (beats), [70]. ►
Pulse slow, indolent, [70]. ► Pulse slow, at times full, at other times
small and tense, [71]. ► Pulse slow, weak, in three girls, [70]. ►
Pulse slow, small, at times intermittent and scarcely perceptible,
during the spasms, [47]. ► Pulse slow, small, thin, [164]. ► Pulse
slow, [147]. ►
Pulse very small accelerated, [166].
► *Weak depressed pulse, [92]. ►
Pulse and respiration very slight and infrequent, [95]. [630.] ► For three days the pulse continued below
50, with a proportionate infrequency of the respiration, [95]. ► A
diminution in the frequency of the pulse, and in several of the volume,
were the only phenomena observed, except in three cases, [103]. ► Pulse
58, [125a]. ► *Pulse depressed, very quick, and fluttering,
ranging to 120 per minute (first day); 120, small and
compressible (second day); 110, somewhat fuller than the day before, at
9 A.M.; 100, quite full, at 7 P.M. (third day); 90, full, but easily
compressed, at 8 P.M. (fifth day); 90, appears to have more volume, but
easily compressed, at 9 A.M.; 100, not as full and wiry, at 8 P.M.
(sixth day); 100, small and feeble, at 9 A.M.; fuller with more volume,
at 4 and 8 P.M. (seventh day); 92, full, at 8 P.M. (eighth day); 80,
full, while quiet, but quick and very feeble while making the least
exertion (ninth day); 80, moderately full, but easily compressed (tenth
day); 80 to 90, weak and variable, at 10 A.M.; feeble, intermittent,
ranging from 80 or 90, at 3 P.M. (eleventh day), [156]. ►
Pulse, before taking, 84; counted every fifteen minutes was as follows:
76, 74, 72, 68, 70, 68, 66, 66, 64, 62, 62, 62, 64, 64, 64; afterwards
perfectly regular, only somewhat depressed, [130]. ►
Pulse, before taking, 84; counted every quarter of an hour was as
follows: 80, 80, 80, 78, 78, 76, 78, 76, 76, 74, 76, 74, 72, 70, 70,
where it remained for over an hour, without variation, [130a]. ►
Pulse 82 (before experiment); 36, slow and feeble (after three hours), [94]. ►
The pulse, usually about 80, sank to about 40, with frequent
intermission, and so continued through the night (after half an hour), [104]. ►
Pulse 79 (before experiment); 72 (after one hour), [126a]. ►
Pulse 74 (before experiment); 62 (after one hour); 60, small and weak
(after three hours), [126]. [640.] ►
Pulse 70 (before experiment); 60 (after thirty minutes and one hour); 57
(after one hour and a half); 60 (after three hours), [121]. ► Pulse
70 (before experiment); 64 (after thirty minutes); 60 (after one hour);
56 (after two, and three hours), [121a].
► Pulse 67 (before experiment);
became soft, small, feeble, and fell to 60, [125]. ► The
pulse, which before the experiment was 65, fell to 54, small and slow, [108]. ►
Pulse 64 (before experiment); 58, moderately full (after twenty
minutes); 48, small (after thirty minutes); 48 (after forty-five
minutes); 52 (after sixty minutes); 55 (after seventy-five minutes); 60
(after six hours), [120]. ► Pulse 64 (before experiment); 52 (after
twenty minutes); 46 (after thirty-minutes); 45 (after forty minutes); 60
(after forty-five minutes); 46 (after on hour); 50 (after two hours), [120b]. ►
Pulse 60 (before experiment); 52, full and tense (after twenty-five
minutes); 51 (after thirty-five and forty-five minutes); 54 (after one
hour); 56 (after one hour and a half), [120a].
NECK AND BACK.
►
Stiffness in the nape of the neck, [48].
► The cervical muscles of the right
side were stiff and painful on turning the head (second morning), [109]. ►
Pain in the back and small of the back, with dragging and pressure in
the lower abdomen, relieved by stooping (second day), [109]. [650.]
► *Pain in the back (second
and third days), [156a]. ► *Pain in the small of the back, [138]. ►
Violent pain in the small of the back (first day), [155].
EXTREMITIES.
►
*Most violent convulsive movements of the limbs occur several times a
day; during the intervals the fingers are numb and often contracted,
[70]. ►
The extremities were alternately violently flexed and extended, with an
irresistible desire to stop the spasm by the force of the will, which he
was imperfectly able to do, [64]. ► General convulsions of all the extensor
muscles, and indeed a perfect access of puerperal convulsion under its
peculiar form (soon after second dose), [117].
► *Sudden periodic contractions of the
limbs, with tensive pain, [33].
► *Convulsive movements of the limbs,
[70]. ►
The limbs were very stiff, affected by the most violent spasms; yet
there was an irresistible inclination to overcome the spasmodic
contractions, so that as long as the spasm affected the extensor muscles
there were constant attempts to flex the limbs, and when the flexor
muscles were affected to extend them, [61].
► Wonderful distortions, alternate
flexions, and distensions of the limbs; even the fingers were violently
bent backward, [64]. [660.] ►
*Contractions of the hands, feet, fingers, and toes, which the strongest
man cannot prevent, [34].
► Various slow pandiculations and
distortions of the hands and feet, especially in children, [42]. ►
Spasmodic contortion of the extremities, [165].
► Contraction of the flexor tendons,
as though we would hop about, [165].
► General trembling of the upper and
lower extremities, especially on exertion, [140]. ►
Trembling of the limbs, with bitter taste, [1]. ► The
limbs trembled easily, [64]. ► *Trembling of the limbs, [71], [142].
► Trembling of the limbs for several
days, [72]. ►
Indolence in the limbs, [3]. [670.] ►
Distortion of the hands and feet, [77].
► Arms and legs rigid, in a
semiflexed and semipronated posture; pain on attempting to straighten
the limbs, [138]. ► Paralysis of different limbs, [64]. ►
Paralysis of the limbs, [62]. ► Complete inability to walk, and
remarkable inability to give the slightest grasp of the hand, or to
execute any movement, even though the patient did not seem excessively
weak, [48]. ►
Immobility and stiffness of the limbs, [48].
► Rigidity of the limbs after the
spasms, [34]. ► Complete stiffness of the limbs, [48]. ►
Rigidity of one or another limb, [33].
► Loss of all power in the
extremities, so that the patient could raise neither the arms nor legs,
was obliged to lie in bed, [140]. [680.] ►
Swelling of the upper and lower extremities, sometimes with rash,
vesicles, furuncles, ulcers, and exanthemata, after the spasms have
lasted a long time, [61]. ► Gangrene of the limbs, the limbs suddenly became
cold, leaden-colored, and lost all sensation, [12]. ► Real
gangrene of the fingers or toes, [64]. ► Cold
gangrene of the limbs, [80].
► True anthrax, rapidly changing into
gangrene of the limbs, [64].
► The parts affected by gangrene
spontaneously separated from the body, [35]. ► The dead
extremity separated at the joint, [54]. ► Hands and
feet swollen, with a gangrenous, black, and suppurating eruption,
[15]. ►
Hands and feet swollen, covered with blisters, [111]. ► Lost both
feet and nearly all his fingers, [159]. [690.]
► The fingers and toes first became
discolored and then actually gangrenous; this gangrene soon became
general, even penetrating to the bones, in consequence of which,
frequently, even during the life of the sufferers, the limbs fall off,
[64]. ►
Some lose their fingers or toes from cold gangrene without pain, and
find them in their stockings or gloves, [80]. ► Pain, with
some swelling, without inflammation, followed by coldness, blue color,
cold gangrene, and death of the limb, [3]. ►► *The
limbs became cold, pale, and wrinkled, as if they had been a long time
in hot water, [80]. ► After excessive lassitude, more or less
protracted, and unaccompanied by fever, the extremities become painful,
cold, and rigid; benumbed and almost insensible, the limbs were yet
capable of movement, though with difficulty; the patients were afflicted
with grievous internal pain, which
was greatly increased by heat, whether
of the bed or atmosphere, but abated
somewhat when exposed to a cooler atmosphere, though even then it was scarcely tolerable; the pain
extended by degrees from the toes to the legs and thighs, and from the
fingers to the arms and shoulders, till sphacelus supervening, the
affected parts, dead and black, dropped from the trunk or the adjacent
members, [158]. ► The nails have fallen off his thumbs and
all the fingers of both hands, as well as one of the lesser toes of the
left foot, the denuded parts being covered with flabby granulations,
secreting a fetid discharge, [131].
► Nails purple, [132]. ► No
blood followed the separation of the limb by the gangrene, [22]. ►
The person generally experiences not the slightest pain in the
gangrenous limb, whenever pricked or cut, though frequently motion is
not entirely lost, [12].
► *Absolute insensibility of the tips of
the fingers and toes, [140].
[700.] ► *Insensibility of the limbs, [37], [47].
► *Numbness of the limbs
(eleventh day), [155]. ► Anæsthesia of the limbs or fingers,
lasting a long time after the attacks, [145].
►► *Numbness, insensibility, and
coldness of the limbs, [54].
► Great weariness of the limbs; he
could scarcely drag along the feet, [84].
► Weakness of the limbs, so that
movement of the fingers was painful (after one hour), [123]. ► *Weakness
of the limbs, [86]. ► The father and mother merely experienced
lassitude in the limbs, [133]. ► *Heaviness of the limbs, [48]; (after three-quarters of an hour),
[106]. ►
Limbs heavy, as if embarrassed with a great weight, and the calves
painful (after one hour), [126a]. [710.] ►►
*Numbness of the fingers and toes, [140]. ►
*Disagreeable sensation of sleep and formication in the extremities,
[98]. ►
*Cramps in the legs, arms, and chest (after two hours), [166]. ►
Cramps in the hands, and feet, which were painfully contracted, [139]. ►
Cramps of the limbs, accompanied with excruciating pains and
formication, [99]. ► The limbs are affected by violent pain, [65]. ►
*Spasmodic pains in the limbs, [48].
► Incessant spasmodic pains in the
feet and hands, changing from place to place, with constantly crying, [42]. ►
*Pains in the limbs, [48],
[54]; (second and third days), [156a]. ►
Pain in the upper and lower extremities, [138].
[720.] ►
Pain and bruised sensation in all the limbs, [140]. ► Pains
in all the extremities; cramps in the flexor muscles, [147]. ►
Periodic drawing pains extending downwards in the knees and elbows, with
loss of sensation, coldness of the skin, and difficult movement of the
parts, [146]. ► Drawing in the hands and feet, [145]. ►
Painful drawing and tearing in the limbs, [100].
► Drawing and tearing in the hands
and feet, [100]. ► *Drawing and crawling in the limbs, [89]. ►
Drawing in the limbs, especially in the arms, [89]. ►
Drawing or tearing pains in the limbs or joints, sometimes associated
with a crawling sensation in the extremities, [64]. ►
Violent jerking in the limbs, so that the patient was unable to separate
or approximate the fingers, [20]. [730.] ►
Severe pains in the limbs (first day), [155].
► *Tingling in the extremities,
[165]. ►
Tingling in the fingers and feet (after two hours), [168]. ►
Jerking pains in the limbs and gum, [70].
► Violent burning in the hands and
feet, and especially the fingers and toes, which were bent and stiff, [135]. ►
Sensation of burning fire in the hands and feet, [34]. ►
Burning in the palms of soles, [147].
► *Burning of the hands and feet,
[34]. ►
Consuming fire in the hands and feet, [142].
►► *Fuzzy feeling in the limbs,
[162]. [740.]
► Extension of the flexed limbs
afforded some relief, [48].
SUPERIOR EXTREMITIES.
► Tonic spasms of the upper extremities, [86]. ►
Shoulder. ► Violent
tearing pain in the right shoulder and upper arm, as if a string were
tightly drawn around it, followed by painfulness of the muscles, for a
long time, [109]. ► Pain in the left shoulder (sixth day), [155]. ►
Very annoying pain in the left shoulder (fifth day), [155]. ► Arm.
► Paralysis of the arm, [139]. ►
Paralytic symptoms in the arms, with stiff and rigid flexion of the
fingers, so that they could not be extended with the most acute pains, [100]. ►
*The arms fell asleep, [164].
► Wrist. ►
Soft, painful, watery swelling of the wrists, lasting several weeks, [42]. ►
Hand. ► The whole hand is
drawn inward, so that the bones of the wrist are very prominent; the
forearm is affected by spasms, and the hands are approximated to the
chest; relief of the pain follows when one attempts to extend the flexed
parts, [42]. [750.] ►
Weakness of the hands; the patient could not hold anything securely, [140]. ►
Contraction of the hands, [165]. ► The hands can with difficulty be carried
to the mouth, the fingers are bent backward, and the eyes distorted, [61]. ►
*Crawling sensation in the hands and arms, [106]. ► Fingers.
► Gangrene, followed by spontaneous
amputation of a finger, in one case, [145].
► Fingers rigid, cold, shrivelled,
painful to pressure, dry; hands covered with red erysipelatous spots,
scales, and cracks, [111]. ► The fingers of both hands were flexed
tightly into the hands, so that they could be opened with great
difficulty; relief if the fingers were extended by another, but they
immediately retracted again into the hand, [42]. ►
Fingers so violently flexed that the strongest man could not extend
them, [142]. ►
The fingers were violently contracted, [37].
► *Contraction of the fingers,
[89]. [760.]
► *Loss of sensation in the tips of the
fingers, [35], [47]. ►
*Numbness of the tips of the fingers, [70]. ► *Numbness
of the fingers, [48]. ► Most violent pains in the tips of the
fingers, [85]. ► Violent pains in the ends of the fingers,
followed by lymphatic swelling, extending up the arms, and by loss of
the ends of the fingers, [112]. ► Cramps in the fingers, frequently lasting
several weeks, especially in children, and making it impossible to work,
[42]. ►
Drawing in the fingers, [165]. ► A crawling numb sensation in the fingers
for a long time, [100]. ► *Crawling in the tips of the fingers, as if
something alive were creeping under the skin, or as if the fingers were
asleep, as from pressure upon the arm, [42]. ► Peculiar
prickling feeling in the tips of the fingers, that are very sensitive to
cold; after awhile they begin to suppurate, and later the
nails separate from their matrix and fall off one after another, leaving
and unhealthy granulating surface, [132].
INFERIOR EXTREMITIES.
[770.] ►
Two of the youngest were attacked with gangrene. One, a boy, ten years
of age, after eating the bread during fifteen days, felt a severe pain
from the left groin to the calf of the leg. The feet and legs became
tumefied, covered with phlyctenæ, and the gangrene appearing at the
inferior third of the legs, descended toward the feet and ascended to
the upper part of the legs, where it became limited. The other, aged
twenty-eight months, was attacked in the same way, but on one leg only, [133]. ►
Convulsions of the lower extremities and most violent pains, [146]. ►
The patients are able to walk only on the tips of the toes, on account
of constant cramplike spasmodic contractions of the limbs, [61]. ►
The lower limbs were flexed; she could not stand upright, and reeled as
if intoxicated, yet was perfectly conscious, [42]. ►
Occasionally slight convulsive twitches in the lower extremities were
experienced by two of the individuals, [105].
► Reeling gait, [145]. ► Gait
difficult, tottering, [70]. ► Tottering gait, [86]. ►
Inability to walk, [48]. ► Painful rigidity of the muscles, and an
extreme lassitude in the lower extremities, causing considerable
difficulty in walking (after second dose), [94]. [780.] ► Lower extremities paralyzed, [87]. ►
Weakness of the lower extremities, so that the gait was unsteady and
stumbling, [140]. ► Weakness and pains in lower extremities, [42]. ►
Thigh. ► Rigidity and
soreness of the muscles, the muscles of the thighs and other parts of
the lower extremities being more particularly affected, [95]. ► In the
course of the day, a creeping sensation of insensibility upon the
anterior part of the thigh and calf of the leg (second day), [124]. ►
Leg. ► Great weariness of
the legs, followed by lasting pains, though worse at night, and would
allow no sleep nor rest, [102]. ► Sense of weight and want of tone from the
knees down, [131]. ► Painful sensation of weight in the calves
and ankles (second day), [126a]. ► *Occasional cramps in legs and feet, [131]. ►
*Cramps in the calves, [165].
► Foot and Toes. [790.] ►
Gangrenous death of the feet and legs as far as the knees, [35]. ►
Swelling of the feet, [48], [111]. ►
Dropsical swelling of the feet, [47].
► Inversion of the feet, [165]. ►
Violent pains in the feet and calves, [140].
► Cramps and weakness of the feet, [132]. ►
Anæsthesia of the soles of the feet, [134].
► *The feet seem asleep and stiff,
[100]. ►
The ends of the toes turned purple, suppurated, and fell off, [132]. ►
Gangrene of the toes and legs, and dropping off of the joints, the cases
terminating either in death or fatuity, [99].
[800.] ► Cramps in the toes, so that walking is
impossible, [42].® 2000
Article