Every man, in the general practice of medicine, is continually meeting with patients whose symptoms are obscure and the question of diagnosis is long unsolved. A careful ophthalmoscopic examination in these cases may at once detect hidden eye lesions that not only serve to identify the general disorder but also furnish us a correct prognosis. Perhaps the relation of a few cases at the outset will make the subject more interesting and impress you with the importance of giving this matter your close attention.
Joseph G., aged 27 years was referred to me by Dr. Edwin Walker. He complains of seeing very poorly, and of headache in the back and sides of the head. The left leg is often numb and there is a pricking sensation to the feet as if his shoes contained pins. The patella reflex is present and the urine negative. The pupils react to light, while
BROSE LD. THE OPHTHALMOSCOPE AS AN AID IN GENERAL MEDICAL DIAGNOSIS.. JAMA. 1897;XXIX(15):727–729. doi:10.1001/jama.1897.02440410015002e
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