Image from page 899 of “A practical treatise on medical diagnosis for students and physicians” (1904)
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Title: A practical treatise on medical diagnosis for students and physicians
Year: 1904 (1900s)
Authors: Musser, John Herr, 1856-1912 Pancoast, Henry
Subjects: Diagnosis Diagnosis, Radioscopic Diagnosis
Publisher: Philadelphia and New York : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
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n pressure, whereas in pleurodyniafirm pressure is grateful, though tapping is painful. In torticollis the head is drawn to one side and fixed in that position.The sternomastoid especially is rigid and tender on pinching. In spinalaffections the head is retracted, and there are antecedent symptoms, asheadache and darting pains with fever. In rheumatism of the abdominal muscles the pain may be so acute asto_ simulate peritonitis. The surface pain of hysteria which gives rise toso-called hysterical peritonitis/ simulating true peritonitis and rheuma-tism, may be noted. 828 CONSTITUTIONAL DISEASES. Rhachitis. In this affection the size of the body is lessened. For its recognitionit is important to know how rapidly the osseous deposits in childhoodhave formed. The fontanelles and the epiphyses must be examined. Ifthe fontanelles are open after the normal time of closure, or if the epiph-yses are enlarged and lack firmness, the condition points either to simplemalnutrition or to rhachitis.
Text Appearing After Image:
Rhachitis: attitude in sitting; one hand raisedto exhibit swelling at the wrist. (Williams.) Rhachitis in moderate degree in a boy agedfifteen months; showing backward excurva-tion of the spine. (Williams.) Rhachitis usually develops in childhood, and is most common in chil-dren with unfavorable hygienic surroundings, who have lived upon astarchy diet and have taken cows milk for too long a period of time.A child that has been nursed during the mothers pregnancy is apt tohave the disease. In rhachitis late development of the teeth is observed. If the ribs areexamined, nodules will be detected at the junction of the bone with thecartilage. These may be seen, as well as felt, if the child is thin. Theyform the so-called rhachitic rosary. The thorax also is changed in shape.At the junction of the cartilages and ribs a depression takes place whichis continuous with a groove passing out from the ensiform cartilagetoward the axilla. This transverse curve is known as Harrisons groove.It may
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