The diseases of infants and children . al(hsease, ])ut is equally well a congenital defect. Keeping the eyes shutor turned from the light or buricul in the pillow indicates photophol)iafrom conjunctivitis, keratitis, or headache dependent oftenest on menin-gitis. A film-like appearance of the cornea develops in children who aremoribund. Ulcers on the cornea often occur in syphilitic or tuberculouschildren. Tubercle of the choroid, choke-discs, and other importantiiiterocular conditions may be discovered by oplithahnoscopic examination. Head and Neck.—\arious alterations of tlie luvul ai)peai.
The diseases of infants and children . al(hsease, ])ut is equally well a congenital defect. Keeping the eyes shutor turned from the light or buricul in the pillow indicates photophol)iafrom conjunctivitis, keratitis, or headache dependent oftenest on menin-gitis. A film-like appearance of the cornea develops in children who aremoribund. Ulcers on the cornea often occur in syphilitic or tuberculouschildren. Tubercle of the choroid, choke-discs, and other importantiiiterocular conditions may be discovered by oplithahnoscopic examination. Head and Neck.—\arious alterations of tlie luvul ai)peai. some ofwhich add to the aiteied exjiression of the face. In chronic hydrocepha-lus the head is globular, the foreliead oveihangs, and th(> face lookssmall. In rickets the head has in general a stjuare or oblong form, withthe top flattened and the frontal and parietal eminences unusually larg(\The face looks small and is given a somewhat square appearance throughthe widening of the lower jaw. Asymmetrical heads aredue to the pres-. FlG. IS.— St NKi:\ 1 ISSIK About the Eyes. Facies of acute diar-rhea and vomiting; girlaged 11 months. (Thom-son, Clinical Examinationof Sick Children, 2d Edi-tion, 15.) 198 • THE DISEASES OF CHILDREN sure by forceps or oftenest to the existence of rickets, the lying too muchon one side producing the deformity in the latter case. Faulty positionmay, however, produce the deformity even when rickets does not of the occiput may be due to pressure, the result of the rachiticinfant lying too constantly upon its back. Asymmetrical, microcephalic,and other deformed states of the head may be found in idiocy. Spots ofthin membrane-like bone (craniotabes) may occur in the occipital regionof infants in the early months of life. The fontaneile is unduly prominentand tense in hyperemia of the brain from any cause, meningitis, tumor,and chronic hydrocephalus. It is very large with the sutures open in thelatter disease, as it is to a less e
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