The diseases of infancy and childhood (1910) (14577294550)

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:
rvature backward. appearance of the so-called rib rosary. This is a thickening of thecostochondral junction of the rib, in which the rachitic processesabove described are very active. Deformity of the thorax follows incourse of time. The thorax becomes prominent at the sternum andflattened in the midaxillary region from the axilla to the free borderof the ribs. (Plate IX.). There is a distind incurvation of thethorax above1, and a flaring below. The thorax is much narrowed atthe clavicles, with a flaring outward of the lower ribs. Respiration,especially inspiration, is much interfered with. The sides of the16 242 DISEASES DUE TO DIS1TEBAXCES OF NUTUITION. thorax are drawn inward at the diaphragm at each inspiration. Inan attack of severe bronchitis or bronchopneumonia, the drawinginward of the sides of the chest becomes still more marked. In somecases the sternum alone is affected. There is a sinking of the ster-num, with resulting chest deformity. Some forms of rachitis affect Fio. 31
Text Appearing After Image:
Angular deformity of the spine, due to Potts disease, as distinguished from thedeformity due to rachitis. only the ribs or part of the thorax. While the rachitic process is inprogress, the chest circumference does not increase; it begins to doso when the disease has run its course in the thorax. Pain.—When the infant is raised from the chair or crib, it cries.This is the result of the painful nature of the rachitic process in the RACHITIS. 243 bones. Forcible percussion of the chest will cause pain. On accountof the deformity of the chest and the consequent interference with itsphysiological functions, the lung is prone to contract infections, suchas bronchitis and bronchopneumonia. Atelectasis is also a commoncomplication. The clavicle becomes bent and fractures on the slight-est traumatism. At the termination of the rachitic process, theclavicle and scapula? are much thickened. Virchow has shown thatthe scapula becomes the seat of an angular deformity. Spine.—On account of the r