Pediatrics. . Fig. 30. This little child (Fig. 30) has disease*in the lumbar is a knuckle there which can be seen, but it is not verymarked, and possibly some might not observe it until theirattention had been drawn to the fact, but, even if there wereno knuckle to point out to you that the child had an inflamedspine, the way in which he rests his head upon his mothersknee, the position of his entire body, and the expression of hisface, point to Potts disease in unmistakable terms. 6o PEDIATRICS. Here is another (Fig. 31) absolutely characteristic attitude<f disease in the same
Pediatrics. . Fig. 30. This little child (Fig. 30) has disease*in the lumbar is a knuckle there which can be seen, but it is not verymarked, and possibly some might not observe it until theirattention had been drawn to the fact, but, even if there wereno knuckle to point out to you that the child had an inflamedspine, the way in which he rests his head upon his mothersknee, the position of his entire body, and the expression of hisface, point to Potts disease in unmistakable terms. 6o PEDIATRICS. Here is another (Fig. 31) absolutely characteristic attitude<f disease in the same location—the same child, in fact, whois walking along, his face puckered up with tears, his headtent back, holding on to his mothers hands; he is stiffeninghis arms and holding his body in a rigid attitude to preventthe spine from movement. Here are two other children with their heads thrown threw their heads back in order to get the weight of. IHHBBR*-^— : -aBB Fig. 31. their body as far to the rear as possible and so transfer thesuperincumbent weight of the trunk from the inflamed and sen-sitive anterior part of the bodies of the vertebrae to the hard,transverse processes which are more able to bear the weight. Here is another little chap (Fig. 32) with a hump on hisback which no one could fail to recognize, but the positionwhich he assumes is not infrequently found in children whohave as yet no knuckle in their spine, but who, suffering pain PEDIATRICS. 261 just as this little boy does, have tried to transfer the weight oftheir head and shoulders to their thighs by means of theirarms, instead of allowing it to pass through the stiffened have made a prop for their back, and have tried to teachus how to support the superincumbent weight of the body. By paying attention to the incipient cases, whose picturesI have shown you, a diagnosis should always be made beforea child assumes the position which this little h
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