1912, P.M., 99.4. Nov. 14,
normal. No scars on genitals. Urine practically a normal specimen.

NEUROLOGICAL.

The Eyes--Light, accommodation and sympathetic reflex present, but
somewhat slow. Slight inequality of pupils, right distinctly larger
than left. Color sense normal. No contraction of visual field. Slight
horizontal nystagmus in both eyes on extreme outward rotation of the
eyeballs. (Pupils equal and normal Nov. 20th, 1912.)

After above symptoms ascertained, 1.40 grain euphthalmine inserted, and
examination of eye grounds showed no optic atrophy. The right eye
ground (retina) was slightly higher in color than the left.

Hearing very acute, both sides.

Sense of taste and smell normal.

Tactile, pain, temperature and weight sense normal.

Deep Reflexes--Knee, reflex, right, irregularly present, regular on
reinforcement; knee, left, absent; brought out by reinforcement
irregularly.

Myotatic irritability of forearm, right markedly heightened; left
slightly heightened.

No ankle-clonus.

Superficial Reflexes--Abdominal reflex present. Epigastric reflex
absent. Cremasteric reflex, active both sides. No Oppenheim reflex. No
Babinski reflex. Plantar reflex: right markedly heightened; left
heightened.

Musculature--Arm and leg showed slightly diminished power on right
side. The left side stronger, though subject right-handed.

Dynamometer, right 90, 90 (two tests); and left 100, 100 (two tests).

No Romberg symptom, and no inco-ordination of upper and lower
extremities.

Gait and station normal.

Slight tremor of fingers, noticeable under mental excitement. At times
slight tremor of lips.

EXAMINATION OF PRESENT MENTAL STATE.

Tests for attention show normal conditions.

Tests for memory, general and special, show normal conditions.

Tests for association of ideas and words showed special bearing upon
his delusional state.

Logical power good, except as limited by his delusions.

Judgment the same.

Has no "insight" as to his own mental condition.

Emotional tests show tone of feeling exalted.

Orientation correct as to time and place.

Delusions present, as subsequently set forth.

CHAPTER XVI.

FINDING OF THE ALIENISTS.

We find that John Schrank came to New York at the age of 12, and lived
with his uncle and aunt as foster parents, who kept a saloon at 370
East Tenth street, New York City.

Before coming to this country he had 5 years of the public schools of
his