The Epitome Volume 5; A Monthly Retrospect of American Practical Medicine and Surgery (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 Excerpt: ...by several observers. So also casts, especially the hyaliene, may be present in the urine for a long time without thereby proving a serious lesion of the kidneys. It is possible that casts may, under certain conditions, form in normal kidneys. DISEASES OF THE NERVOUS SYSTEM. ON THE VALUE OF OPHTHALMOSCOPIC EXAMINATIONS IN DISEASES OF THE NERVOUS SYSTEM. By Hexey 0. O.irswell, M. D., Prof, of Ophthalmol and Otol., Starling Mod. Coll., Columbus, O. From the Medical Record, June 7, 1884: --Although opthalmoscopy furnishes us an important aid in the diagnosis of diseases of the nervous system, oftentimes very grave conditions affecting one of its divisions exist without the optic nerves or retina? revealing evidences of such affections, and especially does this apply to the first stages of these diseases. As a rule, it may be said that in the fundus of the eye, sooner or later, changes are observed with the ophthalmoscope in the course of serious diseases of the cerebro-spinal or sympathetic nervous systems. Oftentimes the ophthalmoscopic evidences are the first exhibited on the part of the eye, the sight, etc., being undisturbed, and not infrequently they are among the first of a train of symptoms observed in the course of one of this class of diseases. The importance of a careful ophthalmoscopic examination in such cases manifestly cannot be over-estimated, but the absence of changes in the fundus of the eye must not be taken as an important factor affecting the diagnosis of disease in some part of the brain, spinal cord, etc. As a rule, however, to which there are many exceptions, it may be safely said that the changes in the optic nerves or retina?, visible with the ophtbalmoscope do not, per m, furnish sufficient evidence of the form of disease elsewhere in..