. Physical diagnosis . Fig. 55.—Tuberculous Dactylitis. presents its most typical lesions in the hands and wrists. The con-striction line opposite the articulation is observed in late cases, butordinarily multiple spindle-joints symmetrically arranged are all thatwe see. The boggy feel, the trophic disturbances, and the chroniccourse are usually diagnostic; but rc-ray examination is necessary to THE HANDS 55 establish the diagnosis which is important because of the unfavorableprognosis which it involves. 9. Syphilitic and tuberculous dactylitis (see Fig. 55), seen as a rulein young children, a
. Physical diagnosis . Fig. 55.—Tuberculous Dactylitis. presents its most typical lesions in the hands and wrists. The con-striction line opposite the articulation is observed in late cases, butordinarily multiple spindle-joints symmetrically arranged are all thatwe see. The boggy feel, the trophic disturbances, and the chroniccourse are usually diagnostic; but rc-ray examination is necessary to THE HANDS 55 establish the diagnosis which is important because of the unfavorableprognosis which it involves. 9. Syphilitic and tuberculous dactylitis (see Fig. 55), seen as a rulein young children, are not distinguished from each other by the physi-cal signs. Diagnosis rests upon the history, the course, the Wasser-man reaction, the results of giving tuberculin or potassic iodide, and.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
