Besides the two cases of my own to be reported in this paper, I have found 75 other cases of laryngeal vertigo, making a total of 77.Case I. G. 0., male, manufacturer, age fifty-four.I saw him, in consultation, October 9, 1893. I was asked to see him, since a short time before he had lost consciousness and fallen while coughing. At that time and subsequently I got this history. A brother had had a well-marked epileptic seizure, so characteristic that it was an accepted fact in the family that he was epileptic.Until the later part of his life the patient has been subject to intense headaches, which had kept him from work, at times half a day. Fitting of glasses relieved these headaches only to a degree. With this exception, he had been a pretty healthy man, and had managed large affairs.In 1890 he had the grip, which was followed by catarrhal trouble. In the spring of 1891 he had acute rheumatism, and after that was never well. After this, also, he had business perplexities, annoying rather than serious. From this time to the end of his life, he was subject to great despondency and depression, out of proportion to any cause.For a year previous to my visit he had spells of labored breathing at night, terminating in what his wife described as a sort of explosion. He had coughed several months previous to my visit. Sometimes the paroxysms would be of considerable severity, but they were not accompanied by loss of consciousness or fall.He would, however, frequently put his hand to his head when coughing.There were two accidents of the loss of consciousness and fall within a short time of each other. They were accompanied by tickling about the larynx, and cough. The second his wife saw. He was going from one room to another. He coughed, but did not have a severe paroxysm. His wife thought his face was flushed, but does not remember that it was markedly so. He arose quickly with her help, but she thinks her assistance was not essential. He looked about wildly for a moment, and then appeared as usual.When I saw him for the examination, I did not notice any uuusual excitement. But I was afterwards told that he was under a good deal of nervous tension. I had previously had his sons under my care and, for their relief, had done some simple operation. He was apprehensive that my mirrors, etc., meant some operation upon him.He went into an adjoining room to remove his clothes for an examination of the chest, and when he came out said he had had a mild attack with tickling and cough. He did not fall, but for a moment felt incapable of effort, mental or otherwise, and was apprehensive of something more serious. His cough could not have been severe, for I did not notice it; nor do I recall it, though 1 was but a few feet away.Gleitsinann describes in his patient a similar condition of uncertainty.In the nose wa8 found a deviated septum with ex-08tosis. There was chronic naso-pharyngitis, relaxed uvula and inflamed tonsils, the left being covered with a grayish exudation. The vocal bands met in the median line on phonation ; the ...
This document is the result of a survey that gathered new or updated descriptions of currently available implementations of X.500, including commercial products and openly available offerings. This document is a revision of RFC 1292. We contacted each contributor in RFC 1292 and requested an update and published the survey template in several mailing lists and obtained new product descriptions. This document contains detailed description of twenty six (26) X.500 implementations-DSAs, DUAs, and DUA interfaces.
The Worcester Tuberculosis Hospital is an addition to a hospital plant the City of Worcester has maintained for several years for the treatment of diphtheria and scarlet fever under the care of the Board of Health. Before this addition was made, it was called The Isolation Hospital. It is now the Belmont Hospital. The name indicates its situation, on a fine hill. Belmont Street is the name of the street on which it is located and "Belmont Street" is the sign on the street car that goes directly to the hospital. .
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