Vicious circles in disease / by Jamieson B. Hurry.

  • Jamieson Boyd Hurry
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: Vicious circles in disease / by Jamieson B. Hurry. Source: Wellcome Collection.

    193/306 (page 173)
    Stammering. Exaggerated self-consciousness and stammering are frequently correlated. Many persons stammer but slightly when perfectly at ease. But mental perturbation at once aggravates their disability, and this in turn intensifies their perturba¬ tion. “ The stutterer stutters most when he is trying hardest to avoid stuttering.” Another neurotic Circle is at times established by the globus hystericus, the sensation of a lump that rises in the throat and is probably due to pharyngeal spasm. The disorder is one that occurs in sensitive introspective persons and may be intensified by undue attention. Tracheal Stenosis. A dangerous Circle may be met with in cases of enlarged thyroid, where this gland compresses the trachea and reduces the lumen to a slit; for acute attacks of dyspnoea are liable to come on quite unexpectedly. Started, perhaps, by some casual effort, the dyspnoea calls the supplemen¬ tary respiratory muscles (especially the sterno-hyoids and -thyroids) into action. These in contracting press the hypertrophied thyroid against the trachea, further diminish the lumen and increase the dyspnoea. Thus the victim is caught in a dangerous vortex, and,