. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Rachitis. Showing the cuboldal shape of the head, thethoracic deformity, the beaded ribs, the protuberant abdo-men, and the enlarged lo^A?er end of the radius. RACHITIS 235 inward at the diaphragm at each inspiration. In an attack of severebronchitis or bronchopneumonia, the drawing inward of the sides ofthe chest becomes still more marked. In some cases the sternumalone is affected. There is a sinking of the sternum, with resultingchest deformity. Some forms of rachitis affect only the ri
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Rachitis. Showing the cuboldal shape of the head, thethoracic deformity, the beaded ribs, the protuberant abdo-men, and the enlarged lo^A?er end of the radius. RACHITIS 235 inward at the diaphragm at each inspiration. In an attack of severebronchitis or bronchopneumonia, the drawing inward of the sides ofthe chest becomes still more marked. In some cases the sternumalone is affected. There is a sinking of the sternum, with resultingchest deformity. Some forms of rachitis affect only the ribs or partof the thorax. While the rachitic process is in progress, the chestcircumference does not increase; it begins to do so when the diseasehas run its course in the Fig. .38.—Rachitic deformity of the spine. Uniform curvature backward. Pain.—When the infant is raised from the chair or crib it is the result of the painful nature of the rachitic process in thebones. Forcible percussion of the chest will pain. On accountof the deformity of the chest and the consequent interference with itsphysiological functions the lung is prone to contract infections suchas bronchitis and bronchopneumonia. Atelectasis is also a commoncomplication. The clavicle becomes bent and fractures on the slight-est traumatism. At the termination of the rachitic process, theclavicle and scapulse are much thickened. Virchow has shown thatthe scapula becomes the seat of an angular deformity. 236 DISEASES DUE TO DISTURBANCES OF NUTRITION Spine.—On account of the relaxation of the ligaments of the bodiesof the vertebra; and of the rachitic processes in the bodies of the bonesthemsehes, there is in most rachitic infants a bending backwardof the dorsolumbar
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
