File:Pediatrics. (1900) (14765168802).jpg

Identifier: pediatrics9190unse (find matches)
Title: Pediatrics.
Year: 1900 (1900s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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te of egg, lemon and orange juice asfood. At any rate the child was given and ate most heartilyof these, and from this time his abdomen began to becomedistended, and the family physician made out a progressivehypertrophy of the liver, and gave four grains of calomelweekly, and cascara nightly. Condition on Admission to Hospital for Crippled Children: It was a typical case of rickets with square head, openanterior fontanelle, beaded ribs, enlarged radial and tibialepiphyses, sweating about the head, and throwing the bed-clothes off at night with occasional attacks of laryngismusstridulus, tympanites, constipation and bronchitis, but Ihave never seen a case in which the liver was enlarged tcsuch an extent as in this one. To state the result of our phys-ical examination in addition to the points noted above, I wouldsay, the child was plump, but flabby, anemic with a muddyhue, circulation sluggish, and extremities cold and mottled.Child was fretful and stupid looking. Craved odd things to
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PEDIATRICS. 49 eat, such as nap on flannel wrappers, chalky substances, backsof picture books, etc. His mother had allowed him to chewon knife brick. The teeth, buccal cavity, and fauces were negative, andthe skin contained no rash nor scars. A few moist rales wereheard in both lungs. The cardiac dulness was increased to theright parasternal line. The abdomen was remarkably dis-tended and the right side entirely filled with liver. The ab-domens circumference at the umbilicus was 22 inches, beingthe same as that of the thorax at the nipples; midway betweenthe umbilicus and the xiphoid cartilage the measurement was24 inches. The right lobe of the liver extended to the rightanterior superior spine of the ilium, 4^ inches down from thecostal margin in the mammary line, and the left lobe 3% inchesdown from the same on the left side. The notch was justabove and to the left of the umbilicus. The gall-bladder wasnot made out. The liver was smooth, not tender, and theedge was sharp. At no time

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