The Archives of Internal Medicine, Vol. 10 (Classic Reprint)

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Excerpt from The Archives of Internal Medicine, Vol. 10 Headaches, mostly ociital, though at times radiating to the frontal and Ophthalmic regions, have annoyed him frequently for the last two years. These headaches were rarely severe. In the fall three years ago, after a long railroad journey, he had a severe headache which persisted twenty~four hours, he felt very weak, and could not sleep for pain. During this day he became very dizzy at any attempt to stand up, or even raise the head from the pillow, several times it became black before his eyes. Once during the day, on attempting to rise, he fainted, and believes he was unconscious for three-quarters of an hour, during which time his wife tried to revive him with dashes of cold water. Ever Since this day (he thinks) he has been much weaker. Often since then, and up to the present time, he has had transient attacks of vertigo, lasting a few seconds, he is sure he is never unconscious. These occur especially when he raises up suddenly after stooping over. There is a blackness before the eyes, and a sense as Of everything being faraway. On comparatively slight exertion he has from this time up to the present noticed that the pulse is rapid and that he is conscious of the throbbing Of the heart. Two months ago he had to stop three times while pushing a wheelbarrow 100 yards. He timed his pulse, it was 135. There were accompanying sensations Of dyspnea and general nervousness. Mental emotion is also liable to bring on palpitation. For over two years he has occasionally noticed transitory edema. Usually this would come on at night, would be noticed in the arm, and would disappear an hour or two after he arose, sometimes in the face, especially cheeks and eyelids, sometimes in the hands or feet. This has not increased lately in severity or tre queney. This edema described by the patient was not seen while he was in the hospital. For the last year or two he has had mild and variable paresthetic sensations, especially noticed when he awakes in the night, such as a sense Of numbness involving the limbs or even whole body. Oftener a localized numbness involving some special, but variable, area on the fingers or toes. Thus once there was an involvement Of the distal part of the left index and middle fingers, lasting per haps half an hour. Very Often this takes the form of a prickling, as With needles and pins. He has noticed these paresthesias perhaps six times the last month. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.