Sir Alexander Morison (1779–1866)

Doyle, Derek

doi:10.4997/jrcpe.2011.420

Cited by 7 publications

(8 citation statements)

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“…Across the globe, enemas have been used for both laxative, cleansing, and ritualistic purposes for thousands of years. 15 Although there are few data on use across cultures, enemas are widely used as treatments for constipation. If a careful history was not taken with this patient, we may never have discovered the cause of the hyponatremia, to devastating consequences.…”

Section: Discussionmentioning

confidence: 99%

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An Uncommon Cause of Choreoathetosis

Steffer

Sandalow

2023

JACEP Open

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Choreoathetosis is an uncommon presentation in the emergency department setting. The differential diagnosis is broad and includes life‐threatening as well as benign causes. Lethal etiologies include metabolic derangements such as hyponatremia as in the case presented here. Hypotonic hyponatremia is the most common electrolyte imbalance and can result from 1 of 2 broad categories of dysregulation: excess free‐water intake and solute depletion. Here we describe a case of hypotonic hyponatremia due to a less common route of excess free‐water intake. Choreoathetosis as a presenting symptom of hyponatremia is described in case reports. We present a case of a 77‐year‐old Thai woman who presented to the ED with complaints of weakness, mild headache, confusion, vomiting, and choreoathetoid movements for 1 day. She endorsed chronic, worsening constipation and decreased appetite. She was found to be severely hyponatremic with a serum level of 114 mEq/L requiring admission to the intensive care unit (ICU) for emergent electrolyte correction. She denied any diuretic use or excess oral water or alcohol intake. The etiology was unclear until a careful history was taken, whereupon it was revealed that she had been self‐administering tap‐water enemas excessively for relief of constipation. Choreoathetosis resolved with careful electrolyte correction. A home‐administered tap‐water enema leading to hyponatremia and choreoathetosis is a subtle presentation that underscores the importance of careful social history‐taking, especially when dealing with vague or non‐specific symptoms. We review some more common causes of hyponatremia and discuss its initial management.

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Section: Discussionmentioning

confidence: 99%

“…This case report highlights the cultural and historical importance of enemas. Across the globe, enemas have been used for both laxative, cleansing, and ritualistic purposes for thousands of years 15 . Although there are few data on use across cultures, enemas are widely used as treatments for constipation.…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Cause of Choreoathetosis

Steffer

Sandalow

2023

JACEP Open

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“…Alexander Morison was born on 1 May 1779 in Edinburgh. 8,[18][19][20][21] In 1787 he attended Edinburgh High School, before enrolling at Edinburgh University in 1792. Two years later he embarked on the study of medicine.…”

Section: Brief Biographymentioning

confidence: 99%

Sir Alexander Morison and The Physiognomy of Mental Diseases: Part 1

Beveridge

2018

Journal of the Royal College of Physicians of Edinburgh

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Sir Alexander Morison's The Physiognomy of Mental Diseases and the original art work that formed the basis of the book have not had the scholarly attention they deserve. The published book and the commissioned portraits have not been studied in any detail. Historians have tended to offer cursory assessments that have reflected their own preconceived ideas rather than properly engaging with the material. This is a pity because Morison's work is a rich source that tells us much about the history of psychiatry. The pictures and text give us a glimpse into the world of the asylum and that of the patient. Although we see the patient through the eyes of the artist and Dr Morison, they do emerge as individuals. The accompanying texts reflect the psychiatric approach of the time and reveal contemporary notions of diagnosis, aetiology and treatment. Morison's work can also be located in the history of ideas about physiognomy. He himself was particularly influenced by Jean-Étienne-Dominique Esquirol, and Morison's work, in turn, influenced WAF Browne. These papers will outline Morison's career and consider in detail his book on The Physiognomy of Mental Diseases.

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“…Rectal irrigation (RI), also known as transanal irrigation, is not new; it dates back to the time of the ancient Egyptians, who are said to have gleaned the idea from watching the ibis bird fi ll its curved beak with water to perform a similar maneuver on itself. 1 What is new, however, is the growing body of global clinical evidence and observational experience regarding the use of RI to treat bowel dysfunction. Th e aim of this integrative review article is to review empiric evidence, combined with real-world experience, to advocate for the greater use of RI to treat bowel dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Evolving Evidence Supporting Use of Rectal Irrigation in the Management of Bowel Dysfunction

Rodriguez

Muter

Inglese

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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Disorders of bowel function are prevalent, particularly among patients with spinal cord injuries and other neurological disorders. An individual's bowel control significantly impacts quality of life, as predictable bowel function is necessary to actively and independently participate in everyday activities. For many patients with bowel dysfunction, initial lifestyle adjustments and other conservative therapeutic interventions (eg, digital stimulation, oral laxatives, suppositories) are insufficient to reestablish regular bowel function. In addition to these options, rectal irrigation (RI) is a safe and effective method of standard bowel care that has been used for several decades in adults and children suffering from bowel dysfunction associated with neurogenic or functional bowel etiologies. Rectal irrigation is an appropriate option when conservative bowel treatments are inadequate. Unlike surgical options, RI can be initiated or discontinued at any time. This report summarizes the clinical, humanistic, and economic evidence supporting the use of RI in clinical practice, noting features (eg, practical considerations, patient education) that can improve patients' success with RI treatment.

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Sir Alexander Morison (1779–1866)

Cited by 7 publications

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An Uncommon Cause of Choreoathetosis

An Uncommon Cause of Choreoathetosis

Sir Alexander Morison and The Physiognomy of Mental Diseases: Part 1

Evolving Evidence Supporting Use of Rectal Irrigation in the Management of Bowel Dysfunction

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