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Updated: June 11, 2025
Diagnosis of Secondary Syphilis. A routine examination should be made of the parts of the body which are most often affected in this disease the scalp, mouth, throat, posterior cervical glands, and the trunk, the patient being stripped and examined by daylight.
Leeches, stimulating fomentations, and a blister, which was made for sometime to yield a purulent discharge, were applied over the cervical vertebræ; and in the course of a very few days the pain was entirely removed. It is regretted that no farther information, as to the progress of this case, could be obtained.
These twenty-six bones supply the central axis of the body, support the head and upper extremities, and inclose and protect the spinal cord. The upper seven vertebræ form the neck and are called the cervical vertebræ. They are smaller and have greater freedom of motion than the others.
According to Ashhurst, Philips, the elder Cline, Willard Parker, Bayard, Stephen Smith, May, and several other surgeons, have recorded complete recovery after fracture of the atlas and axis. The same author also adds that statistic investigation shows that as large a proportion as 18 per cent of injuries of the cervical vertebrae occurring in civil practice, recover.
Wallace simply suppose that, in a season of scarcity, a longer-necked variety, having the advantage in this respect over most of the herd, as being able to browse on foliage out of their reach, survived them and transmitted its peculiarity of cervical conformation to its successors.
The significance of this sudden inertia is forced upon me: the Philanthus has stabbed the cervical ganglions. Hence the sudden immobility of all the organs of the head: hence the real, not the apparent death of the bee. The Philanthus does not paralyse merely, but kills. This is one step gained.
And as these two centers, the sympathetic center of the deeper abdomen, and the voluntary center of the loins, gradually sparkle into wakeful, conscious activity, their corresponding poles are roused in the upper body. In the region of the throat and neck, the so-called cervical plexuses and the cervical ganglia dawn into activity.
When awake he is dull and apathetic. There is no fever; the temperature may be subnormal. The pulse, too, is not rapid, the skin is dry, the tongue moist but coated, the bowels regular. The eyes become congested and prominent. The cervical glands enlarge. The disease ends in coma and death. Recovery rarely occurs.
The spinal cord is not uniform in thickness, but tapers slightly, though not uniformly, from the upper toward the lower end. At the places where the nerves from the arms and legs enter the cord two enlargements are to be found, the upper being called the cervical and the lower the lumbar enlargement.
A diagnosis of cervical dislocation was made, and violent extension, with oscillation forward and backward, was practiced, and the abnormal appearance subsided at once. No crepitus was noticed. On the fourth day there was slight hemorrhage from the mouth, which was more severe on the fifth and sixth days.
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