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March 16, 1895


JAMA. 1895;XXIV(11):400-402. doi:10.1001/jama.1895.02430110018001f

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Clinical history kindly furnished by Dr. F. J. E. Ehrmann, Resident Staff, Cook County Hospital:

Wm. B., single; white; age 28; English. Admitted to service of Dr. Earle August 19, 1894. Stated that he had been out of work since March, on account of persistent neuralgic pain in both fore-arms. Of late, has complained a good deal of headache; tenderness over occipital region. Had gonorrhea three times; chancroid three years ago. Mental condition apathetic; sleeps most of the time and only with difficulty aroused. Eyes, pupils dilated and react slowly. Eye grounds show distended veins on each side. Tongue broad and flabby. Chest, examination negative. Abdomen, negative. General condition good; well nourished. When aroused, answers questions intelligently. Headache worse on motion; no pain elsewhere. Pain in occipital region radiating toward frontal region. Urine amber colored, acid, 1015. no albumen. Temperature varied between 96.4 and 99.4; as a rule, was below

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