Diseases of infancy and childhood (1914) (14768884711)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

often decay early, but they present nospecial peculiarities of form. 2. The characteristic peculiarities which distinguish these centralincisors are as follows: They are dwarfed, being too short and too narrow;and sometimes the portion of the upper jaw from which they grow is alsoarrested in growth. They often stand somewhat apart and slope towardone another. They are unusually rounded on section; they are peggedand they are notched. The notch is usually shallow and the dentine isexposed at the bottom of it. It is formed by the breaking away of theimperfectly developed central portion of the edge. The teeth are generally SYPHILIS. 677 not of a good color, and they are abnormaUy f-ioft, so tliat by the time thepatient is 20 they may be ground down like those of an old man. The first molars are next in diagnostic importance to the npper cen-tral incisors. When cliaracteristic they are spoken of; as ^^dome-topped.Their sides slope toward the center, over which the enamel is defective. As

Text Appearing After Image:

Fig. 224.—Sj^philis. Child 14 years old. A productive periostitis enclosing theshafts of the long bones. Absolutely characteristic of syphilis. might be expected, syphilitic teeth not infrequently present the character-istics of mercurial teeth in addition to their own peculiarities. Diagnosis and Differential Diagnosis.^—The clinical history will be theguide in congenital syphilis. The history of previous abortions and still-born children will aid in establishing a diagnosis. The cachectic skin, the wrinkled mouth, and rhairades at both mouthand anus will niatoiiallv lud in eslahlishino- a diagnosis. ^ See Blood in Syphilis, page GS5. 678 THE INFECTIOUS DISEASES. Table No, Q8.—Differential Points Betiiyeen Syphilis ami Tuherculosis. (Morrow.) SYPHILIS. TUBERCULOSIS. Exhibits a marked predilection for the Is almost exclusively situated in the long bones; its habitual localization is epiphysis, rarely affecting the shaft,in the diaphysis and almost always atits terminal extremity

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1914

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