The diseases of infancy and childhood (1910) (14763660862)

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

Text Appearing Before Image:

a very close resemblance to dactylitissyphilitica, especially as there is pain on pressure (Fig. 32). Lower Extremities.—The deformities of the lower extremitiesare more marked than those oi the upper ones. On account of thepain experienced, the infants refuse to stand; they will draw theextremities up underneath the abdomen, it any efforl is made to 2 44 DISEASES DUE TO DISTURBANCES OF NUTRITION. make them do so. In other cases, when attempts are made to stand,the weight of the body and the muscular traction (Kassowitz) causedeformity. The femur, tibiae, and fibulae curve outward, giving theso-called bow-leg deformity (Plate X.). This may in extremecases result in a deformity of the heads of the bones entering into theformation of the knee-joint. The ankle-joint may suffer a varusdeformity. The femur and tibiae may curve inward, and a knock-knee deformity result. In all cases, there is relaxation of the liga-mentous joint-structure. The tibia sometimes becomes much thick- Fig. 32.

Text Appearing After Image:

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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1910

Library of Congress

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