Document M4mOyBNn3L06ddJjoYqbxY6px

V JA M ES N. GAM BLE. PRESID EN T A LFRED K. N IPPRT. f '' THE CHRIST HOSPITAL 1 TH E A U SPIC ES O F Th e El iz a b e t h Ga m b l e De a c o n e s s Ho m e As s o c ia t io n H . H . G A RRISO N . 1ST VU ALEXANDER THOMSON. CA R R O LL H . LEW IS, EXECUTIVE SECRETARY J , M .T H O M SSE N , RECO RD IN G SECRETA RY R. P. GILLHAM . TREASURER MOUNT AUBURN, CINCINNATI. OHIO December 6, 1929. Dr. Dobort A. Eehoe Delicti College, Oincinn&tiy Olio. M iss Al ic e P. T h a t c h e r . S u pe r in t e n d e n t Dear rector Kelioe, your patient, Hr. o give you a report of ny findings on whom I examined-on December third. The striking physical findings were in the upper extremities. Both arms showed a marked paresis. This was about bi laterally equal. It was more marked in the hands -than in the forearm, and more in the forearm than in the arm. The extensors were more paretic than the flexors, and the supinators, more- than the -pronators. I was unable to detect unequivocally the presence of muscular, atro phy in any of the arm muscle groups. There raay.be some present. I ' am inclined to think so, but probably not easily revealed because of the absolute symmetry of the involvement. The bicipital reflexes . were 'normal; also the tricipital. 'The brachio-raciinli were both sub normal but oresent. All sensory functions were normal: ordinary tactile, tactile Discrimination, vibratory, pain and both extreme and faint de crees of heat and cold. Both ep-itrochlear,glands were snla r :ea. The lower extremities showed no abnormalities. -- 11 reflexes were present and adequate. All sensation was normal. . Yascularisation of all extremities was normal. Blood pressure was - a lo-.r'hormal; systolic about 110 mg. Hg. There wa's no anemia. The cranial nerves \ ere All. normal in all respects The teeth and gums were clean, no lead line on the guns. The heart, t aorta, lun ~s and pleurae were normal. The abdomen was tender over the entire- area occupied by the large bowel, more especially over the cecum and the __ sigmoid.. Peristalsis was ..unusually .active but could not be correlated" with any abdominalToaintor. cramps.AThere .was. no paresis of 'anywof- the abdominal muscles-nor of the -diaphragm; nor of any of the inter- costals. ' -- . - .'- ' 'In my opinion the man has huu an attack of.acute lead poisoning, from which he is now in a receeding or convalescent stage. I think the ,history and the present status of both the oeriph- oral nerve involvement.and the .abdominal colic are sufficiently -.. charsctoristic to- warrant the diagnosis. ' . v TT g||| N8505 t h i . rat lent. K f 00 U S A with many thanks for the privilege o f examining' a '' Tory sincerai-