Licence: Public Domain Mark
Credit: Lectures on syphilitic osteitis and periostitis / by John Hamilton. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![as did exercise over uneven or rough ground, or the motion of a vehicle. There was swelling and ten- derness of the cervical vertebrje at the upper part of the spine. He kept his head fixed on the neck. Partly from the difficulty of lying in any easy position, and partly from increased pain, he slept badly at night. He had been ill with this pain for fourteen weeks, and at different periods previously had suffered from various forms of secondary and tertiary symptoms. By blisters and hydriodate] of potash in decoction of sarsaparilla, he got so well that he left hospital at the end of three months. After two months he came back suffering somewhat from the pain, but chiefly from a new symptom, difficulty in swallowing, and a sense of choking. I found an abscess at the back of the pharynx, which I opened. This afforded immediate relief, and after a proper course of treat- ment he completely recovered, and when I saw him a few days agot^here was no trace of his former com- plaint, and the motions of the head and neck perfect. When the bones of the cranium are the seat of the disease, the brain itself becomes implicated by the swelling of the bone and the inflammation extend- ing to its membranes. Some years ago a gentle- man consulted me for syphilitic pains of the head, worse at night, but never absent, with swelling in different parts of the cranium, and great tenderness. But his chief complaint was of drowsiness; if he](https://iiif.wellcomecollection.org/image/b21923619_0032.jp2/full/800%2C/0/default.jpg)