On the Wasting Diseases of Infants and Children

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James Walton, 1868 - 261 páginas

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Página 131 - On examining the surface of the skin with a low magnifying power, especially on the palms of the hands and the soles of the feet, the...
Página 78 - ... exposed to debilitating causes. The physician finds the child lying on its nurse's lap, unable or unwilling to raise its head, half asleep, one moment opening its eyes, and the next closing them again with a remarkable expression of languor. The tongue is slightly white, the skin is not hot, at times the nurse remarks that it is colder than natural ; in some cases there is at times a slight and transient flush : the bowels I have always seen already disturbed by purgatives, so that I can scarcely...
Página 138 - The majority of cases of great enlargement die. The degree of the splenic enlargement may be taken as an index of the severity of the cachexia, with...
Página 86 - ... children's diseases, is one of the most common. It begins insidiously, presenting at first merely the ordinary symptoms of defective assimilation, and attention is often not attracted to it until the characteristic changes occur in the bones which place -the existence of the disease beyond a doubt. It is the result of malnutrition; any disease, therefore, which seriously interferes with the assimilative power, and causes sufficient impairment of the general strength, may be followed directly...
Página 237 - ... dilatation of the bronchi, and is sometimes also characteristic of catarrhal pneumonia. If in the intervals of the fits of coughing there is anything approaching to an asthmatic seizure or the slightest percussion — dulness at the top of the sternum, little doubt can remain as to the nature of the disease. Alteration in the quality of the voice often accompanies the characteristic cough. If there is doubt in any case, the occurrence of signs of venous pressure at once changes our suspicions...
Página 88 - The most constant and striking anatomical lesions in rickets are, — 1. Enlargement of the ends of the long bones, — of the parts where the bone and cartilage are in contact, ie where the cartilage is preparing for ossification, and where ossification is advancing in the cartilage. 2. Softening of all the bones. 3. Thickening of the flat bones, eg the bones of the skull —the scapula. 4. Deformities which follow from mechanical causes acting on the softened bones, eg the deformities of the thorax,...

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