. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . e may be somnolence. In some cases, varicoseveins and hemorrlioids have been observed. In individual cases,there has been hemianopsia, limitation of the visual fields, blind-ness or deafness. In women, menstruation is usually thyroid gland may be atrophied or hypertrophied. Thedisease appears most commonly in young adults and is chronicin course. How does akromegalia differ from osteitis deformans, Pagetsdisease ? The disease called by Sir James Paget osteitis de
. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . e may be somnolence. In some cases, varicoseveins and hemorrlioids have been observed. In individual cases,there has been hemianopsia, limitation of the visual fields, blind-ness or deafness. In women, menstruation is usually thyroid gland may be atrophied or hypertrophied. Thedisease appears most commonly in young adults and is chronicin course. How does akromegalia differ from osteitis deformans, Pagetsdisease ? The disease called by Sir James Paget osteitis deformansmore especially involves the long bones, which, while theybecome enlarged, also become distorted, with resulting defor-mities ; akromegalia displays a predilection for the small bonesof the hands and feet and face, and is unattended with distor-tion and deformity. In osteitis deformans, as a result of theenlargement of the cranial bones, the face presents a triangular out-line, with the base above and the apex below ; in akromegaliathe enlargement of the hones of the face occasions a characteristic Fig. 1 2 3 Outline of the Face, 1, in myxedema; 2, in akromegalia ; 3, in osteitis deformans. (Marie.) elongated, elliptical outline. In akromegalia there may be anincrease in stature ; in osteitis deformans there is more likely tobe a diminution. The former appears early, .between fifteenand thirty-five ; the latter, later, after forty. Akromegalia mayappear in several members of one family ; osteitis deformans 858 ESSENTIALS OF DIAGNOSIS. does not. The invasion of akromegalia is symmetrical; that ofosteitis deformans is indiscriminate. How are akromegalia and myxedema to be differentiated? The enlargement that appears in myxedema is dependentupon changes in the skin and subcutaneous soft structures ;while the enlargement of akromegalia is due to a hyperplasiaof bone. In the latter, the skin is healthy and mobile ; in theformer, it is thickened and adherent. In myxedema,
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdiagnos, bookyear1892
