Pathology. The body fat fairly preserved, but the peculiar pallor notable even after death in certain cases.
Fatty degeneration present in the heart, kidneys and liver, project proposal writing services the latter organ being frequently enlarged, and very yellow in color.
The spleen usually shrunken, red and sclerotic, but occasionally much en larged The increase in the iron pigment in the liver, kidneys and spleen notable. The total quantity thesis statistics help blood markedly diminished at death.
The marrow the long bones soft and red, and megaloblasts are present in imiisual numbers, A patchy degeneration affects especially the posterior columns the cervical cord.
Sjmptom, The jiatieiit has commonly noted for some months an increasing debility, with palpitation, dyspnea exertion, sleeplessness, langour, dyspeptic symptoms, slight puffiness the ankles and marked failure muscular strength. His friends have noticed his pallor, and the physician forcibly impressed with the yellow tinge, which even suggests jaundice in certain cases. The ghastly color the lips extremely suggestive in others.
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Headache, can someone write my paper vertigo, and tinnitus are frequently noted, and dimness vision more rarely.
A fair preservation muscular strength occasionally present A slight or moderate elevation temperature found in most cases, at least during certain stages the disease.
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Xervous symptoms are very common, and generally dependent the degenerative lesions in the cer ical cord. Paresthesias are very services essay frequently noted, and severe pains in the course the peripheral nerves and in the epigastric region may present. Attacks similar the gastric crises locomotor ataxia are occasionally seen.
The knee-jerks may increased, suggesting that the lateral columiis are especially involved, or the loss reflexes may suggest rather a tabetic type distribution. If the peripheral nerves are especially painful and tender the possibility arsenical neuritis, which I have seen several times in such cases, must not overlooked.
Loss control the sphincters not uncommon in the spastic type cord involvement and may found in certain cases suggesting a transverse involvement the cord. Mental Symptoms. Mental dulness, delirium, delusions, hallucinations, melancholia and dementia are noted in a few cases. Circulatory System. The heart commonly moderately dilated, help with writing paper occasionally much dilated. In practically all cases systolic murmurs hemic origin may heard. A relative leakage at the mitral orifice accounts for many the apical systolic murmurs. When consider the poor state nutrition the heart muscle and the poverty paraphrasing apa style the hlood, with the diminution in its total quantity, need not surprised at the constancy the auscultatory signs. The blood pressure greatly reduced, perhaps or The vessels the neck may pulsate violently as suggest aneurism, and the pulse often a jerky character.