. A text-book of medicine for students and practitioners . )on thesternum. As a result, the patient grows de-cidedly shorter, and this very shortening may bean im]i()itaiit factor in diagnosis. Tbe sickAvoman is ajit lo remark it, because she has tokeep shortening her gown in front. The thorax,also, is apt to be much distorted in severe is compressed laterally, while the sternum becomes very prominent, andis sharply bent. The change in the shape of the pelvis in osteomalacia. Fig. 107.— Puerperal osteoma-lacia. (Erlangen MedicalClinic.) OSTEOMALACIA 39 is less obvious externally, hiil
. A text-book of medicine for students and practitioners . )on thesternum. As a result, the patient grows de-cidedly shorter, and this very shortening may bean im]i()itaiit factor in diagnosis. Tbe sickAvoman is ajit lo remark it, because she has tokeep shortening her gown in front. The thorax,also, is apt to be much distorted in severe is compressed laterally, while the sternum becomes very prominent, andis sharply bent. The change in the shape of the pelvis in osteomalacia. Fig. 107.— Puerperal osteoma-lacia. (Erlangen MedicalClinic.) OSTEOMALACIA 39 is less obvious externally, hiil it can be detected on internal is, of course, of great importance from an obstetrical point of pelvis, like the cliest, is compressed laterally, while the symphysis ismade to project forwaivl like a beak. The sacrum and its promontoryare also pushed forwaid, and llie su}Hri()i sliait thus acquires somewhatof a heart shape. This change in the pelvis is apt to appear very is probably the chief cause of the peculiar gait {vide supra). In onecase of osteomalacia 1 found that infraction of Ihe sacrum had given riseto the characteristic symptom-complex of compression of the cauda equina{vide page 298). The extremities arc less often distorted, particularly if the patient becomesbedridden at an early period. Manifold cliang(>s are, however, possible. Some-times there is also fracture. In a few reported cases the softness of the bonesof the extr
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