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  Item Reference: KCLCAL-1896-1897-726

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κλπ υ ογ μκμπμ What arc the difficulties presented in 110 detection of early pulmonary phthisis Upon what points in th evidence physical and general would you hieflv rdv II -Comnuntarn on Ca$t ווו fHrtJtrinr Λ patient is introduced into the ward supported by an assistant Λ continuous rhythmical tremor is observed to nffoct the head limbs and trunk all of which are violently agitated as the patient approaches you the legs even being thrown forward by series of rhythmical shocks Thc patient is now seated on chair and immediately thc rhythmical move- ments of both upper and lower extremities are arrested while those of thc head and body continue He is next laid at full length on couch All movements whatever now cease He endeavours to rise all movements reappear Whilst the hands are quietly resting on the lap he is asked to pick up small object close to him small amount of tremor is developed He is then asked to take glass Standing little distance off and to carry it to his lips The tremor becomes very decided but the glass is duly seized and carried correctly to the lips Closing or opening the eyes have no effect on the tremor peculiar condition of speech is noticed as well as special rhythmical affection of the movements of the orbit Describe the characters of both of these latter State your opinion as to the nature of the case Distinguish between the different types of spasmodic movements for which it may be confounded III -Cait in &ttrgff for Conunrntan Male ait 31 Family history good married with two healthy children No previous illnesses Five months pre- viously he noticed severe pain in his penis followed by burning sensation during micturition the pain was worst at the beginning of the act week later he passed some blood in the urine bright red in colour and coming after all
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