Two cases of acute ascending paralysis

Joseph O'carroll
1902 Transactions of the Royal Academy of Medicine in Ireland  
Physician to the Richmond, Whitworth, and Hardwicke Hospitals. [Read in the Section of Medicine, M~y 16, 1902.] CASE I.--M. F., an attendant in a lunatic asylum, was admitted to the Whitworth Hospital, under my care, on the 4th Oct., 1901, complaining of pain and tenderness over the region of the stomach, :and of swelling of both legs. He was thirty-three years of age, unmarried, and looked fairly healthy, though somewhat spare. He stated that about three months before admission he b~,gau to
more » ... ion he b~,gau to lose his appetite, so that, whilst eating very little solid food, he yet usually felt as if he had had enough. He began also to lose flesh, and his bowels became confined. Later on he had morning vomiting, which he attributed to medicine, but for which the .alcoholic habit was more probably responsible. About a week before admission he noticed some swelling in both legs, and walking ~aused him some pain. He also had some puffiness of the lower eyelids in the mornings. He had been some years in the army ; had habitually drunk .a great deal of alcohol ; and a favouritc "pick-me-up" was an .eggflip composed of two eggs and half a bottle of Worcestershire sauce. A scar on the glans penis seemed sufficient evidcuee that he had had syphilis. ~l~e family history threw no light on the-case. Physica~ Examinat/on.--There was cedema of both legs, more marked in the left. Abdomen distended transversdy; liver .dulness extended, in nipple line, from upper margin of sixth rib to three fingers' breadth below the hypochondriac margi n , and, ~ccupying a similarly increased depth in the middle line, it merged in a greatly-increased splenic dulness in the left hypochondrium. There were slight crcpitatiom (cedoma ~) at the base of the right lung behind ; and there was a systolic apex murmur of the heart. The urine, which, according to the patient's statement, had beeu .of ordinary appearance up to the day before admission, showed now some blood colouring, and in addition, microscopically, some pus corpuscles and casts of nearly all descriptions.
doi:10.1007/bf03032954 fatcat:vokoceehlzb5hlq24wrk47qzn4