y may persist for months. Such
cases as these frequently come before the courts when the employer has
discontinued to pay the weekly compensation for the injury. Medical men
are called to give evidence for or against the injured workman.
=Epilepsy= is often simulated. The foaming at the mouth is produced by a
piece of soap between the gums and the cheek. The true epileptic,
especially if he suspects that a fit is imminent, takes his walks abroad
in some secluded spot, whilst the impostor selects a crowded locality
for his exertions. The epileptic often injures himself in falling, his
imitator never; one bites his tongue, but the other carefully refrains
from doing so. The skin of an epileptic during an attack is cold and
pallid, but that of the exhibitor is covered with sweat as the result of
his exertions. In epilepsy the urine and faeces are passed involuntarily,
but his colleague rarely considers it necessary to carry his deception
to this extent. In true epilepsy the eyes are partly open, with the
eyeballs rolling and distorted, whilst the pupils are dilated and do not
contract to light; the impostor keeps his eyes closed, and he cannot
prevent the iris from contracting when a bicycle-lamp is flashed across
his face. A useful test is to give the impostor a pinch of snuff, which
promptly brings the entertainment to an end.
=Lumbago= is often feigned, and the imposture should be suspected when
there is a motive, and when physical signs, such as nodes and tender
spots, are absent. A simple test is to inadvertently drop a shilling in
front of him, when he will promptly stoop and pick it up. The same
principles apply to spurious sciatica.
=Haemorrhages= purporting to come from the lungs, stomach, or bowels,
rarely present much difficulty. The microscope is of use in all cases of
bleeding. Possibly the gums or the inside of the cheeks may have been
scratched or abraded with a pin.
=Skin Diseases= are excited artificially, especially those which may be
produced by mechanical and chemical irritants. The most commonly
employed are vinegar, acetic acid, carbolic acid, nitric acid, and
carbonate of sodium; but tramps frequently use sorrel and various
species of ranunculus. The lesions simulated are usually inflammatory in
character, such as erythema, vesicular and bullous eruptions, and
ulceration of the skin. They may be complicated by the presence of
pediculi and other animal and vegetable parasites. Chromidrosis of t
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