. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. eeor a degree in body temperature, which will continue for days or even -OUR 3 u u 12 3 oW ul ;t^o 0 >2 rrr 3 G ^^ 12 3 « U 12 3 G 9 12 3 C 91! 3 6 9 12 3 0 ^12 102° 5101 = I I 1 - ^ : E : = - E - - E E _ E E ^ !^ z S ^ 7 S r 1 7 3 - = 7 r 1 >— ^ E - E E E E E z :; - E ElOO ~ ~ I / : V a ^ 1 -f ^ i, / s s i ^ E E E E PULSE ~ ~ z r Z :;? 1 ? ^ ^ * O r. r_. ?=S ^ = 5TiT 3 IT E 2 E ?, 1 EE - RESP. i,?i,^ i^ r 3 5. y , 1 1 j ?r ?*SS :«.,s -r,¥ i,*^! ii ? H S s^l Fig. 181.—Endocarditis co
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. eeor a degree in body temperature, which will continue for days or even -OUR 3 u u 12 3 oW ul ;t^o 0 >2 rrr 3 G ^^ 12 3 « U 12 3 G 9 12 3 C 91! 3 6 9 12 3 0 ^12 102° 5101 = I I 1 - ^ : E : = - E - - E E _ E E ^ !^ z S ^ 7 S r 1 7 3 - = 7 r 1 >— ^ E - E E E E E z :; - E ElOO ~ ~ I / : V a ^ 1 -f ^ i, / s s i ^ E E E E PULSE ~ ~ z r Z :;? 1 ? ^ ^ * O r. r_. ?=S ^ = 5TiT 3 IT E 2 E ?, 1 EE - RESP. i,?i,^ i^ r 3 5. y , 1 1 j ?r ?*SS :«.,s -r,¥ i,*^! ii ? H S s^l Fig. 181.—Endocarditis complicating influenza. Second week of the illness. Mitralsystolic murmur developed under observation. Female child, aged four years. weeks and give rise to a suspicion of paludal poisoning. There isalso an increasing pallor. Examination of the heart reveals thelesion. In other cases there are a very slight but increasing pallor,weakness, and indefinite pains in the bones and joints. In children,more than in the adult subject, we are apt to have monarticular affec-tions of a rheumatic Fig. 182.—Chronic cardiac disease, hypertrophy, and dihitation of the left and right\entricles. Enlarged liver and spleen, ascites, cyanosis, recurrent attacks of by rectum shows a subnormal range. Bay. aged twelve years. I have seen several cases of monarticular joint affection with anendocardial murmur in childhood. One case was that of a child twoyears and eight months of age, another was that of a child eight yearsof age. In the one case the ankle was swollen, painful, and slightlyreddened. There was no temperature. There had been slight painin one knee some da>s ])re\ious to the ankle affection. In the othercase the metatarsal phalangeal joint of the small toe was involved, DISEASES OF THE HEART 677 In young children the joints may i)e painful, and still no historyof joint pain will be given, and the first indication of pain is a decidedlimp in wal
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