Frequent co-existence of hysteria and cardiac affections noted more frequent in linen than in women, especially in those suffering from mitral stenosis, either alone or complicated with insuffi ciency. Hysterical prfecordial pain, hysterical dysimma, and hysterical apo plexy should he carefully differentiated from similar symptoms due to cardiac disease. Giraudean (Le Semaine June 26, Rapid respiration, from 40 to SO per minute, may be of hysterical origin. In these cases the pulse-rate may not be 'cor respondingly accelerated. An annoying • hysterical cough is not an infrequent symptom in young girls. I have never witnessed a persistent and continuous rise of temperature, 3° or 4° F. above normal, in hysteria, but cases presenting this symptom have been reported by competent observers. Intermittent rise of temperature is not uncommon. A dif ference in the axillary temperatures of several degrees has been observed. 1•e should always he on our guard in cases of supposed hysterical fever and en deavor to detect any deception that may be attempted. Retention of urine is not an infrequent symptom in some female subjects.
Incontinence from hysteria never oc curs. It may be that those cases of in continence that have been reported were either the incontinence of retention or the incontinence that sometimes occurs in healthy persons from a weakened con dition of the vesicular sphincter as a result of allowing the bladder to become overdistended for several hours. Abun
dant secretion of light-colored urine of low specific gravity is common after any emotional excitement. Anuria may oc cur. Complete suppression may last for ten days, without the ordinary symp toms of uruemic intoxication. Cowers ("Diseases of Nervous System," second ed.).
Many vasomotor disturbances—such as local dilatation or constriction of the blood-vessels of the skin, flushing; lateral sweating, especially of the head and neck; swelling of the hands or feet or of the joints—may occur in hysteria. Case of ecchymotic spots and goid eruptions of hysterical origin. The ecellymoses appeared after a convulsive attack, and have persisted during two years. Raymond (La Semaine Med., Dec. 31, '90).
Attention called to an cedema with bluish discoloration, which at times oc curs in hysterical subjects. The affec tion resembles, in some respects, Ray naud's disease, but is not symmetrical like the latter, and does not lead to gan grene, as Raynaud's disease does. Char cot (Jour. de .Med. de Paris, Feb. 22, '91).