. A practical treatise on medical diagnosis for students and physicians . Heberdens nodes. (Original.) 196 EXAMINATION OF THE EXTREMITIES. trcu-lions due to chorea or to central lesions, as posthemiplegic contractions,will be considered under Special Diagnosis. It is thus seen that the peculiar combined extension and flexion, caus-ing abnormal shape of bands and fingers, may be due to (1) local joint-. Khcumatoid arthritis. (Original.) inflammation (subluxations); (2) local neuritis and paralysis ; (3) pro-gressive (spinal) muscular atrophy ; (4) or rarely idiopathic muscularatrophy. THE HANDS
. A practical treatise on medical diagnosis for students and physicians . Heberdens nodes. (Original.) 196 EXAMINATION OF THE EXTREMITIES. trcu-lions due to chorea or to central lesions, as posthemiplegic contractions,will be considered under Special Diagnosis. It is thus seen that the peculiar combined extension and flexion, caus-ing abnormal shape of bands and fingers, may be due to (1) local joint-. Khcumatoid arthritis. (Original.) inflammation (subluxations); (2) local neuritis and paralysis ; (3) pro-gressive (spinal) muscular atrophy ; (4) or rarely idiopathic muscularatrophy. THE HANDS. Shape. We bear in mind the variation in the shape of the handin different types of individuals—the broad and heavy hand of the san-guine, the slender, dexterous hand of an individual of the nervous tem-perament (see Chapter XIX., Part I.), the large joints of the hand of
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