Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . ve mental enfeeblement accompaniedby characteristic physical symptoms. Mentally these patients are unable to collect AUTO-INTOXICATION PSYCHOSES their thoughts and with difficulty comprehendwritten or spoken language. Their memory isdefective. They are often anxious, dejected, andapprehensive, and at times sulky and ill-natured. Physically the skin becomes thick, dry, andrough. The lines of the face are obliterated;the featuresare dulled;the eyes sunk
Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . ve mental enfeeblement accompaniedby characteristic physical symptoms. Mentally these patients are unable to collect AUTO-INTOXICATION PSYCHOSES their thoughts and with difficulty comprehendwritten or spoken language. Their memory isdefective. They are often anxious, dejected, andapprehensive, and at times sulky and ill-natured. Physically the skin becomes thick, dry, andrough. The lines of the face are obliterated;the featuresare dulled;the eyes sunk-en, and thelips hair ofthe head andface is scant,discolored, andatrophied. The courseof myxcedemais progressive,but interrupt-ed by remis-sions. The treat-ment of myxe-dematous in-sanity is by dried thyroids of the sheep, which act asa specific remedy in this disease. The improvementin favorable cases soon sets in and increases remedy acts alike on the mental and physicalsymptoms. Usually the patient is in convalescencebetween two and three months. Not all cases, how-ever, yield to treatment; relapses may Fig. 40.—A case of myxedematous psychosis(Weygandt). io8 MENTAL MEDICINE AND NURSING (2) Cretinism.—The disease is mostly endemicin mountainous regions. It is a form of imbecilitydue to loss of function of the thyroid gland ininfancy. The gland is found to be either atro-phied or non-developed. Mentally, the patient is dull, stupid, indiffer-ent, sleepy, and unable to care for himself. Fig. 41.—Cretin, twelve years of age (Cot- are shortened and tons Diseases of Children). , 1 and lips are thick, the hair scanty, and teethpoor; the speech is inarticulate, the movementsunwieldy, and the gait slow and awkward. Thepatient has little power of resistance and readilysuccumbs to intercurrent disease. The medical treatment is of no avail after thedisease has fully developed. In some cases,however, desiccated thyroid improves the physi-
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