The Pituitary Body and Its Disorders, Clinical States Produced by Disorders of the Hypophysis Cerebri (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. 1912 Excerpt: ...and palpitation on exertion, and polyuria. Her menses began normally in her fourteenth year, but during the past twelve months she has had only three scant periods. No members of her family are obese and she herself was slight until a year ago. In January, 1909, she weighed (clothed) 115 pounds: in September of the same year her weight was 183 pounds, and on admission to the hospital it was 239 pounds--a gain of 124 pounds in fourteen months. Her appetite is large: she is very fond of sweets. Physical Examination. An exceedingly obese young mulatto with a small and delicate bony frame (Figs. 239, 240). The mucous membranes are a good color. There is marked pyorrhoea alveolaris. Cardiovascular: The heart and vessels arc apparently normal. The pulse is persistently slow (65 per minute, and occasionally falling below 50). Visceral: The thoracic and abdominal organs'show no deviation from the normal. Neurological: There are no, --Case XXXV. Showing normal sella with thickened dorsum sella, giving double contour. positive findings. Gynaecological: The cervix uteri is very small: fundus and ovaries are not palpable. Analysis of Hypophyseal Manifestations, (a) Neighborhood Symptoms. These are wanting. An X-ray shows a normal sella turcica (Fig. 241). There is considerable uniform constriction of the fields for form and the earlier fields (Fig. 242), taken on admission during a period of headache, show some color interlacing. There is no diplopia: no pupillary change: no neuroretinal abnormalities. (b) Glandular Symptoms: Skeletal changes are inconspicuous. The extremities are small; the hands (Fig. 243) pudgy, the fingers delicate and tapering, the nails showing no crescents. The X-ray shows small terminal phalanges (Fig. 244). The epiphyses are ossified, there bei...