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Her brothers she did not recognize and said, “They must be small.” She recalled the fall on the ice and coming home with headache, toothache and pain in the back. Her general knowledge was limited but she could read and write. Her expression and appearance was that of a young person, only her atrophic breasts and the fat on her buttocks betraying her age.
The atrophic type of scleroderma is preceded by an edema, and from pressure-atrophy of the fat and muscles the skin of the face is strained over the bones; the lips are shortened, the gums shrink from the teeth and lead to caries, and the nostrils are compressed. The etiology and pathology of this disease are quite obscure.
Delusions concerning crimes committed. Satyriasis. Could hear fire kindled to burn her. Diagnosis, "secondary dementia." Death at 54 from bilateral bronchopneumonia. Atrophic uterus. Cystic right ovary with twisted pedicle: atrophic left ovary: contracted kidneys. Delusions: "sorry she had lived": "broken her religion" Given to self recrimination. Autopsy: Death from hypostatic penumonia.
When this great nerve-tract becomes atrophic, so that it can no longer transmit the higher physiologic orders, all parts of the sympathetic system must be unbalanced, until a new line, the next line of least resistance is established.
Cloudiness of the lens set in in 4 per cent of the cases, while posterior synechiae developed in the great majority of them. In 2.3 per cent the eye was attacked by iridocyclitis and in 3.4 per cent enucleation was found to be necessary. Six eyes became atrophic but were not, for various reasons, removed. One and three-tenths per cent of the eyes operated on were lost from late infection.
Atrophic conditions are also met with, the bones undergoing fatty atrophy, so that in extreme cases they may be cut with a knife or be easily fractured. These atrophic conditions are most marked in bedridden patients, and are largely due to disuse of the limb; they are recovered from if it is able to resume its functions.
However, the atrophic condition of the organs of elimination makes this impossible and there are not enough alkaline mineral elements to neutralize the destructive acids. Therefore the impurities remain and accumulate in the system and may cause serious aggravations and complications.
When the vital organs and their functions are weak and inactive or when nerves, muscles, ligaments and other connective tissues are in a relaxed, atonic or atrophic condition, certain stimulating movements applied to the nerves where they emerge from the spinal column will energize the vital functions all through the system. Many patients imagine that such manipulative treatment is superficial.
The whole of these areas was more or less densely speckled with pigmented, freckle-like spots, varying in tint from a light, raw umber to a deep sepia, and in size from a pin's head to a bean, and of a roundish and irregular shape. Interspersed among the pigment-spots, but not so numerous, were white atrophic spots, which in some parts coalesced, forming white, shining, cicatrix-like areas.
If the woman's organs are sound and merely inert and atrophied, the new ovary will find its way to its proper position and begin the work of restoring the arrested functions, so that the act of menstruation, for example, which has ceased because of the atrophic condition of the woman's ovaries, begins again and continues on a normal twenty-eight day period.
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