Document 826g1j2eyL84bM447LpXrkYRy
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Wateness fcrasiar p a in In nook Beak# l e f t le g #
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rb* 2I4, 19 3 1 till b u rn in g o f f r iv e * head* In p a in te d s t m t s t r u c t u r e w ith eaeyaeetylene to rch # d ev elo p ed an acufce pulm onary
e d e rn r e l i e v e d by oxygen therapy-* a n t b e In &k b o a rs# flig h t
o f Fob. 2 5 * 19 3 1 d ev elo p ed -nonfee p h ary n g ea l and la r y n g e a l dona .
as r e tu r n e d to h o s p i t a l whore be rem ain ed t i l l March 13 * 195* Pro th a t time t i l l p resen t has been am bulatory and under o ars of
a number o f p h y s ic ia n s m ost o f who a g re e d t h a t th e p a tie n t* a ^
c o n d itio n was th e r e s u l t o f an sncepb& litle m y o c a rd itis and
sp in a l a r t h r i t i s due to le a d poisoning# fhe oondlfelop d a rin g the
p ast y ea r has grown worse p a r tic u la r ly in s o fa r m the pain in the
sp in e i s concerned - neck pain and s tif f n e s s b ein g moat annoying*
Its a d d i tio n f o r p a n t 8 210111ha th e r e h a s been m afoness tin g lin g
and w eakness in l e f t leg * F o r p a s t 9 n o n th s h a s b* f r e e from
se v er abdom inal rasps im ieh had o c c u rre d a t in te rv a l d u rin g fch
p re v io u s 2 y ears# Tmimti o f th e hands ha t w s se n s t e n t though
sissewhafe 1m m arked d u rin g p a s t few months* S h o rtn e ss o f b r e a th
on. e x e r t io n lias been c o n tin u a lly am tdying end h a s Imomm in c r e a s in g ly
se v ere# O e s tro * in te s tin a l ystp&oma lim ite d to gas and p a in f u l
d i s t e n t i o n a f t e r m a la # Ho c h i l l s fe v e r d ip lo p ia r p a r a ly s is *
F ath e r riled 8 l s e n ility * X b ro th e r d ied a t k? sarcoma# Mother d ie d a t 30 p u e rp e rio a # d i f o l i v i n g and w e ll -* no c h ild re n #
Practare le ft p atella 1950.
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S chool t i l l 1 * G rocer* c le r k t i l l 1*$ AWff t i l l 23 d t r u o t u r a l 3 t e l l w orker s in c e e x c e p t 5 year C19 20 - 1 ;924) when h o p e ra te d a grocery#
o f f and v,n work w ith oxyseebylen to r c h i s b u rn in g r i v e t h ead s work u s u a lly c a r r i e d o u t In pen a i r * P r io r to 1**1# had been burn!rg f o r about 2 weeks av erag e ii*5 hours- work w ith to rc h - a l l o f work was undos b rid g e f l o o r whore v e n t i l a t i o n `was poor - fumes
wdre v e r y th ic k p o c k e tin g u n d e r b rid g e # H ost pronounced yap iota was b ro n c h ia l i r r i t a t i o n - cose r e s p ir a t o r s were fu rn ish ed a f t e r
a b o u t 1 wek ** war# worn l a s t 4 d ay s p re c e d in g i l l n e s s # One o th e r rmn had s i m i l a r exposure l e a s se v ere though im com plained o f f e e l i n g 111 d id n o t busoiae s e r io u s ly i l l * P a r tic u l a r b rid g e had
been p a in te d s in c e l8 b l# Moot pine th e r e was a n tn la n n o f 1 /2
Inch thickness of paint#
B la c k is h anid sputum a t tim es s in c e ?*X* Seas o f c o n s b rlo tio n
fre q u e n tly in hast w ith pain in l e f t base p o s te rio rly on deep ' i n s p i r a t i o n * M arkedly dyspnel a e x e r tio n 10 s to p s m xiiaujs e x e rtio n weakness g id d in ess prenonneed#
A p p e tite f a i r * no b r e a k f a s t - c o n s tip a te d p h y sio ( s a l i n e afeharfct 2 x week) Sm all atsjounfc b r i g h t ro d melon a f t e r oafcharfetes sever in te rn a l hemorrhoids#
H y o tu ria l x * Im potent 3 months 1931 Has reco v e re d fanefelon
sin ce then#
.
H*M#
H abits H#t# 0 *0 .
Head Byes log Mouth
m in Mm'k lodes Chest
Abdomen P e lv is
F requent o c c ip ita l headache r a d ia tin g ' up fra sh o u ld ers and neck# Jnsoarniii 1-2 hoars# Wakens f re q u e n tly as consequence o f m uscle cram ps and drew lu g aenaafelons* Tftrabness i n hand# and. le g s v ery annoying* Froqueiifei forslftfelm l e f t le g * M en tally h as barn* v e ry d e p re s s e d sad f t o u s , o th e rw is e h as been i n t e r e s t e d In hobby end
reeding*
A verages h o u rs s le e p n i g h t l y a- a lc o h o l m od erate ms tobacco*
U sual w eig h t 198 - L*S. ? 1932 *? 198 -
B** 186*1/2 .
B e ll d ev elo p ed and n o u rish e d whit man dop r e s s e d , nervous#
Aeeps r e a d i l y a jo d e m te ly p ro w lse n t p a llo r ^ soars trem o r to
hands* 0*1 e i s h a l t i n g w ith d ra g g in g l e f t lo g * a p p a re n t ag$*
I$0*4f y e a rs *
.
S* 9 8 .0
Pulse 76
B* 2 4
tfeigfife 188*1/2 '
B*p. laq/S a
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H air h arsh , th in * no tendmesa#
.
P u p ils .somewhat c o n tr a c te d * r o a s t t o 1 a id a# o c u la r mevseietifes
h e s i t a n t * v o lu n ta ry oomferol poor#.
.
.
n e g a tiv e
,
.
Lip good c o lo r * guo u n h e a lth y p u r u le n t g i n g i v i t i s lo w er
in c is o rs Z f u l l arowos *.arius s o la rs * b lu is h d is c o lo ra tio n
gums m argin * lo w er c e n t r a l I n c is o r s * T h ro at dusky and reddened#
^haryngeiil r e f l e x Ok#
.
Clear h e a lth y
M uscles have norm al ton * a r e te n d e r to p r e s s u r e c e r v i c a l pins
tender m percussion thyroid not otesorthy#
,.
Hot noteworthy
w a ll iau@el@d b ro ad w ide <&rsgld tr a p o s i o * o o m w h u t r i g i d *
pad very ten-; or*
..
B -3 .0 . 7*0
II# CmUm 5*0 * 11*0.
K*X* r i g h t 8*0 Ioffe 8*0
D*9*
R ight 5*0 lo f t |* 5
P#I* subdued by heavy m uscular pad#
B#S* v a ry s o f t v ealo # !S#* and 0* V# n o m a 1 b u t p o o rly transm itted*
H e a rt, to n e s oft r e g u la r ~ poor q u e ll fey*
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obese, s lig h tly pendulous ten se no smsseii or ten n er arena# n&mml
S atrsaltisa
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norm al fores l e f t la g d e f i n i t e l y c o ld e r tslian r i g h t f r o a knse
don - d o r s a l i s p e d is pul good and eq u al*
Opine 'Te?ider fchrotjghmifc e r a o t o r spina tens * .f is s io n lim ite d *
sssii& L iig m a
i Ok
IX n o t am m i ned
-
t i t Ok
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I V <M '
'
.
V ok
..
VI ok
VI I P o o l d u l l * s l i g h t l y SRiik-lik A ll ovanewfca
weak and lim ite d * ea m tlen sl ao tiu a& len f a i r l y
go Oil,.
VI I I s l i g h t Impairsnfe h e a rin g on Ioffe,
IX ok
X
xiand x i i ok.
Hfle%QB Tendon r a f l e s s a b y p e r a e tiv e * tUR* sxaggsp& ted. S u p e r f ic ia l r e f le x s e n o t e l i c i t e d - no B&Mnakl o r
clonus,
sensorluia
* 1 'a u ttle d is e riis ih a t p o o rly d e t e m , th ro u g h o u t, 0a-
p is te absence tllm r lm * on l e f t le g below knee whore
there is & stocking an aesth esia, B p lsritio sensation
b o th hands i s p o o rly pereelvadU Klnaasfchefcio ans a tier
l e f t leg is pour s h ils deep s e n s ib iilty both hands is
noraaX*
.
ssasli
Hal tin g slid aosa&wbat tr e m l.o a s #
talks w ith proneuneed l i s p due to d ra g g in g o f l e f t leg * Son o f t h i s le g weakness I s fe ig n e d .
fr.tnorm
Coarse l a b i a l and lin g u a l trejaors ooars trem or of
hands and e m I n s re a s s d by e f f o r t &r motional
s t r e s s w in to n t l a type* She h ead l a In v o lv ed a t
tie# *
`
jjasoalar. .System n o ra a l no atro p h y o r lo c a lis e d lo s s o f ton.
M w aterg
UrIn * a i k . If.II, Albumin anrl Sugar n e g a tiv e *
Blood kBC 5*370#000 17BC 1 1,600 lib ' 16 (HH) XOi^i -
Poly, Band Lymph
Ston, im*
5-8 0 *5 3?
k
m m m iM
tSkm p o n ttiv txX'G 8 foli019S8
m tih p azienti afe fellis t t a -.
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1* a o n e ra i md.s p # a ifleniX y sy ocaretin i nmmmn*
Z* S p in a i arfetirifeis#
3* !rdono o f confcrnX nmrvmm ayetiesa in ju ry
4* StmfeaX a o r ie a and g in g ili% ia # .
5 Payoheiwiwposft
troiai feha patlen& *a hsfcory 16
thafe feh n lf e ia l d laafeilifey
gas fello rem ili! oT fella inh&Iafeltm f gaa@u usici le n ti ftm as e w l f e
by fcha feorsh or&# Sfees ,pssuXfe4 afe flrs fe i n an acu; puX&anary
dama and Xafesr en efarono ills io s s * 111 presenti iayoosrdlsJL eaknesa oan
b afeferibufea feo fehe ejcpoaur fe irrifeanfe g asea evo-.vd a oan fch
QQnimma afeafe o f i l i haalfeu Ife i s noti poeabl feo dofeonairio
fafeh* o r noti fei p ra v lo u a ld xposur is . p la y la g a rei i n feti
pafeinfef a i l l n e a s afe fehia
alfehougi ife i s oonoodd feo hav ben
a ts a jo r faofeco* afe feti f e i o f en so t* ?ber la no clireofe virane
fehafc auoh l a fch sa a # ium , on feto ofcher band u n s i ! f u r febei nfcudiea
ai don ife a rm a ti b xoluded @s a fao fco r. 'Sten payolioneu^oais w hich
i s preseafc ari b& ffo red a an spianai; lori o f aosae o f fello neurct
l o g i c a i f I n d in n e | In e u r o p in io n ife i s Etar p ro p o rly considerer
feo fa a ooapliaafciofs o f feh" ptfctonfe* IXXneoa vi would reet&tsiend
iiosp ifea'iiaiiig feirn pa&ienfe f o r afe tm \afe i wteka d u rin e oulo li sin
feto le a d s a te ra tlo n u n d er fcfc J.*tf1.u-t*nc o f ferfiafemont co u ld bo
a feudletit 13Xfigaisri>.feion of fen C ia ld a o f v ia to ri ebouXd bo a a r r t e d crafc*.
m& *irays o f feti obasfe and s p i ob&ntnad*
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HB 0014594