Care and feeding of infants and children; a text-book for trained nurses . Fig. 75.—Scoliosis resulting from 76 —Lordosis resulting rom 77.—Kyphosis, resulting from rickets. There is usually marked anaemia. These cases are bad sub-jects for surgery, as the hemorrhage is difficult to check owingto the slowness with which the blood clots. Prevention.—Babies on the breast never develop children are fed on any sterilized food, either cows milkor the proprietary foods, some uncooked fruit or vegetable juiceshould be given daily. DISEASES OF NUTRITION 155 Treatm
Care and feeding of infants and children; a text-book for trained nurses . Fig. 75.—Scoliosis resulting from 76 —Lordosis resulting rom 77.—Kyphosis, resulting from rickets. There is usually marked anaemia. These cases are bad sub-jects for surgery, as the hemorrhage is difficult to check owingto the slowness with which the blood clots. Prevention.—Babies on the breast never develop children are fed on any sterilized food, either cows milkor the proprietary foods, some uncooked fruit or vegetable juiceshould be given daily. DISEASES OF NUTRITION 155 Treatment.—When scurvy has ah-eady developed, orangejuice is a specific. If orange juice is too laxative some otheruncooked fruit juice should be given. The anaemia and associ-ated rickets will gradually disappear under the proper food andmedication. PuRPUR.\, Mel.^na Neonatorum, and PURPURA Purpura is the name applied to the spontaneous extravasa-tion of blood in and beneath the skin and mucous membranes.*. Fig. 78.—A ca?e of scurvy in a child of si^ months, showing the hemorrhage around the lefteye Showing also a pronounced rhachitic rosary. (Courtesy of Dr. P. H. Bennion.) The symptoms are the chief features of the disease, the causebeing frequently unknown. A variety of forms were formerly described as: purpurasimplex, purpura rheumatica. purpura hemorrhagica, purpuratoxica, etc It is probable that the condition is practically always due tosome infection, or to the effect of bacterial products. A clear analysis of the symptoms, including a careful analysisof blood and urine, will frequently give a clue to the cause of thehemorrhages. MEL^NA NEONATORUM (tHE HEMORRHAGIC DISEASE) These terms are meant to designate a form of bleeding whichoccurs spontaneously in the new-born. The bleeding most fre-quently occurs on the second or third day. although it may begin 150 CARE OF INFANTS AND CHILDREN a few hours after birth. The most common site of bleedingis the bo
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