A system of practical medicine . Peterson from the exam-inations of 500 new-born children at the Sloan Maternity Hospital,may be accepted as representing the normal average for the infantskull: Occipitofrontal diameter . Horizontal circumference Greatest transverse diameter . While some deviations are physiological, marked differences fromthese measurements involve a pathological significance. In micro-cephalia the circumference and all diameters are decreased ; in hydro-cephalus, increased. The dolichocephalic skull is long and flat, theantero-posterior diameter being pro])or
A system of practical medicine . Peterson from the exam-inations of 500 new-born children at the Sloan Maternity Hospital,may be accepted as representing the normal average for the infantskull: Occipitofrontal diameter . Horizontal circumference Greatest transverse diameter . While some deviations are physiological, marked differences fromthese measurements involve a pathological significance. In micro-cephalia the circumference and all diameters are decreased ; in hydro-cephalus, increased. The dolichocephalic skull is long and flat, theantero-posterior diameter being pro])ortionately larger than the trans-verse ; in the brachycephalic the transverse diameter is too great andthe skull seems flattened from before backward. The nose is frequently malformed ; the ears present various degen-erative anomalies. The lips are thick, and imperfections in the teethand prominence of the lower jaw are particularly constant. In short,congenital idiocy furnishes a rich collection of the various physical Fig. Growth of beard in a female: .stigma of degeneration (Incurables Hospital). stigmata of degeneration. Deformities, asymmetries, and anomaliesof the face (Fig. 88), palate, eyes, body, limbs, and genital organs arepresent in profusion. In addition to these inherited defects, the individual may be furtherdeformed by the addition of localized palsies, with resulting shorteningand contractures in the limbs. Vol. IV.—55 866 IDIOCY AND IMBECILITY. The general appearance of the patient depends parth upon the phys-ical sN^mptonis aiul partly upon the degree of the intellectual l)ody-growth is almost unexce})tionally interfered with. Nearlyall the patients are undersized, ill-proporti(Mied, and clumsy in theirmovements. Nearly all are homely, and profound idiots are extremelyrepulsive in appearance. They lie in bed motionless or performingrhythmical movements, mute or giving utterance to meaningless attention cannot be attracted. Sali
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