File:The diseases of infancy and childhood (1910) (14763990975).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Rachitic bands, showing bowing and thickening phalanges of fingers (authors case), ened and curves anteriorly, giving the so-called sabre deformity.It may be twisted on its longitudinal axis. I have seen severerachitis of the femur and tibia result in multiple fractures. The deformity at the hip-joint, which later in life follows changesin the angle made by the neck of the bone with the shaft of thefemur (coxa vara), is believed to be due (Whitman) to rachitis.The children are late in walking. The musculature is weakenedthrough disuse. When the children assume the sitting posture, they cross the lowerextremities in tailor fashion. In the majority of cases of rachitis,the abdomen is protuberant. As a result of the defective nutrition,the musculature of the intestine is weakened in the same manner asthat of the extremities. Tympanitic distention is the rule. Intestinal Disturbances.—Intestinal disturbances are common in PLATE X
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Rachitis. Showing the deformity of the thorax and marked bowing of the tibiae, EACHITIS. 245 rachitis, but are not a result of the process. Henoch shows thatrachitis may be present with an apparently normally functionatingintestine. Spleen.—The spleen is enlarged in many cases of rachitis, butretrogrades to the normal size after the disease has run its course. Blood.—The blood shows the changes found in ordinary mild orsevere simple anaemia. Liver.-—The liver may be slightly enlarged. Anosmia.—Ansemia of the skin and mucous membranes is fre-quently found. It may be so extreme as to cause the skin to have ayellowish waxy hue. Rachitic children perspire freely at night, espe-cially about the head. Unless the skin is kept scrupulously clean,sudamina, furuncles, and eczema of all kinds will result. Nervous System.-—There is no doubt that certain nervous affec-tions, such as tetany, laryngismus stridulus, attacks of inspiratoryapnoea, spasmus nutans occur frequently in combinatio

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