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Pulses and temperatures and blood-pressures were seething in his mind; and sharp sticks and jagged stones and the general possibilities of a puncture; and murmurs of the heart and râles of the lungs; and a most unaccountable knock-knock-knocking in the engine; and the probable relation of middle-ear disease; and the perfectly positive symptoms of optic neuritis; and a damned funny squeak in the steering gear!
I saw, for instance, a distinct improvement in hearing in the case of a young woman who had increasing deafness while the aurists declared that the ears were in proper condition. I found that she lived with a father who suffered from a severe middle-ear catarrh and that she was simply controlled by a hidden fear that she might have inherited the ear disease of her father.
Relative to menstruation from the ear, Spindler, Paullini, and Alibert furnish examples. In Paullini's case the discharge is spoken of as very foul, which makes it quite possible that this was a case of middle-ear disease associated with some menstrual disturbance, and not one of true vicarious menstruation. Alibert's case was consequent upon suppression of the menses.
#Tuberculous disease in the cervical glands# is a common accompaniment or sequel of adenoids, enlarged tonsils, carious teeth, pharyngitis, middle-ear disease, and conjunctivitis. These lesions afford the bacilli a chance of entry into the lymph vessels, in which they are carried to the glands, where they give rise to disease.
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