. Physical diagnosis . THE HEAD AND FACE. 21 3. Teeth-grinding,—Nervous, delicate, oversensitive childrenoften grind their teeth in their sleep. There is no foundation forthe popular superstition that this act indicates Fig. 15.—Notched Incisors in Congenital Syphilis. XI. The Breath. Foul breath is oftenest due to: (<t) Foul teeth and gums (neglected). (b) Stomatitis of any variety. (c) Gastric fermentation (with or without constipation).Rarer causes are abscess or gangrene of the lung, in which the breath may be intensely foul; the source of the odor is made evi-dent by the sputa.
. Physical diagnosis . THE HEAD AND FACE. 21 3. Teeth-grinding,—Nervous, delicate, oversensitive childrenoften grind their teeth in their sleep. There is no foundation forthe popular superstition that this act indicates Fig. 15.—Notched Incisors in Congenital Syphilis. XI. The Breath. Foul breath is oftenest due to: (<t) Foul teeth and gums (neglected). (b) Stomatitis of any variety. (c) Gastric fermentation (with or without constipation).Rarer causes are abscess or gangrene of the lung, in which the breath may be intensely foul; the source of the odor is made evi-dent by the sputa. Acetone breath has a faintly sweetish odor, which has been com-pared to that of chloroform, new-mown hay, and rotting occurs not only in diabetes, but in various conditions involvingstarvation (vomiting, fevers), and especially, but not only, a lackof In urcemia a foul odor is often noticed, and an ammoniacal(urinous) smell has been mentioned by many writers. In ty-phoid and in syphilis some persons seem to detect a characteristicodor, but the evidence is insufficient. Alcoholic breath is often of 1 See Taylor: Studies on an Ash-free Diet. University of CaliforniaPublication, July 30th, 1904
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