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Updated: June 7, 2025
That of an elderly patient with marked vascular disease, often renal involvement, and distinctly impaired nutrition. There may be renal retinitis or retinal hemorrhages. The case may easily become one of hemorrhagic glaucoma. It may run a very chronic course.
That has come in part to our notice in the first sleep walking, when our patient prepares the breakfast for her brother-in-law. "After that first sleep walking when Mother was having hemorrhages, they took place now rather frequently, when the least glimmer of light fell upon me, when Mother, for instance, lighted a candle at night to take some drops for her cough.
But, though they were entranced with the grandeur and charm of its scenery its towering cliffs, leaping cascades, and green, palm-fringed flat land of the coast Papeete did not treat them well, and their old enemy, which had forgotten them for some happy months, again found them out there and Louis had a severe relapse, with a return of the hemorrhages.
How, for instance, is a woman prostrated by disease to make anything of the little life within her four walls? I remember a woman who broke down at school and suffered so frequently from violent hemorrhages all her life, which was prolonged till she was nearly fifty, that she was seldom able to leave her room.
The frequent presence of poisons in the fetal skin demonstrates its physiologic importance. It has probably not a very marked influence on its health. Arsenic is a powerful abortive agent in the guinea-pig, probably on account of placental hemorrhages.
Stevenson had been free from his old trouble, were dashed to the ground by a severe cold caught in Sydney and a return of the hemorrhages.
She tried to ward off disease, and repair the loss of force, by consulting various doctors, taking drugs, and resorting to all sorts of expedients; but the hemorrhages continued, and were repeated at irregular and abnormally frequent intervals. A careful local examination disclosed no local disturbance.
She menstruated at the age of eleven, and was temporarily improved in her condition; but after any strong emotion the hemorrhages returned. The subsidence of the bleeding followed her first pregnancy, but subsequently on one occasion, when the menses were a few days in arrears, she exhibited a blood-like exudation from the forehead, eyelids, and scalp.
If small hemorrhages occur in the arterioles of the extremities, of course the prognosis is not serious. Sometimes some of the smaller vessels of the brain may become obstructed and cerebral degeneration occur.
Ninety-seven of these patients had hemorrhages somewhere, most frequently epistaxes, sometimes hemoptysis. Janeway did not find that purpuric spots on the skin occurred early in the disease in any of his patients. Gastro-intestinal disturbances were not much in evidence unless the kidneys were insufficient. Intermittent claudication in the legs occasionally occurred.
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