Introduction
Mercuric methide Hg (H3)2.
Mind
Moves his arms about apparently without object, and in an idiotic manner; at times is even violent, shrieking out, making loud incoherent noises, or laughing or crying in an idiotic manner; occasionally makes efforts to get out of bed.
Head
Giddiness.
Eye
A dark margin around his eyes. Some inflammation of both conjunctivae, with a muco-purulent discharge. Pupil. Pupils dilated. Pupils dilated, but act equally to light, conjunctiva rather injected, sclerotics slightly yellow. Pupils dilated at one time, at another contracted. Vision. Impairment of sight. Slight slightly impaired. Dimness of vision, pain and redness of the eyes.
Ear
Deafness; it is with difficulty that he understands what is said. Lost his hearing.
Nose
Power of smell much impaired.
Face
Expression very vacant. Countenance pale and sunken; afterwards also dusky; later flushed. Cheeks sometimes flushed, sometimes pale.
Mouth
Teeth. Teeth and lips dry, covered with sordes. Gums. Gums rather spongy, and of whitish color; lips dry. Gums spongy and swollen. Gums became sore. Tongue. Soreness of gums and looseness of teeth. Tongue coated and moist. Tongue coated with a yellowish fur. Tongue moist, coated on the dorsum with a white fur red at tip, and edges. Tongue numb. Saliva. He was observed to spit and wipe his mouth very often. Taste. Nasty taste in his mouth, like brass. Taste became imperfect, all things tasting alike. Speech. Powers of speech much impaired. Makes constant efforts to speak but only utters incoherent noises.
Throat
Swallows with difficulty.
Stomach
Refuses to take nourishment, and struggles and becomes furious upon any attempt being made to force him to drink. Nausea and vomiting, the vomited matters being greenish and watery.
Abdomen
Some pain in the right hypochondrium on pressure.
Stool
Diarrhoea. Passes all his evacuations beneath him. Bowels open, motions dark-colored, fluid, mixed with scybala. Constipation. Bowels generally confined. Bowels not opened for five days.
Urinary Organs
Urine passed involuntarily. Urine pale, slightly turbid, acid, sp. gr. 1018, containing a considerable quantity of albumen, and showing renal epithelium and granules under the microscope; afterwards passed in bed and very offensive.
Respiratory Organs
Breath offensive. Odor of his breath and body very offensive. Distinct mercurial fetor in his breath. Breathing sometimes seems to cease altogether for a few seconds, and then to become quick and stertorous.
Extremities in General
Violent movements of his limbs, much increased on tickling his feet. The felt wrist is rather rigid, and the left knee almost completely so; he never bends it voluntarily, but it can be slightly bent by using considerable force; later there is no sensation of or motion in the left leg, which is extended, rigid at the knee, and the foot turned slightly inward; sensation is also somewhat impaired in the left hand. He can move his limbs perfectly, but slowly; can grasp only very imperfectly, and takes some time to close his hands; he dragged his legs after him in walking; lost the power of bringing his hands directly to the point that he wishes.
Superior Extremities
Fingers drawn together and stretched out unnaturally. Numbness of the hands.
General Symptoms
Great weakness. Too weak to walk out. So restless and noisy that his hands had to be strapped to the bedstead; attempts to start up in bed, and utters incoherent noises at frequent intervals. Sensation less than natural, though he is aware when his hands and feet are touched; the latter feel warm to himself, although they appear cold to others.
Skin
The skin over th sacrum is red.
Sleep
Restless nights. Sometimes sleeps well, but is often restless at night.
Fever
Cold hands. Skin generally warm and dry, that of hands and feet cold.