. A practical treatise on medical diagnosis for students and physicians . he course of syphilis ; and in sclerodactyly. The nails in some cases of Raynauds disease become dry, scaly, andcracked, or hypertrophied. The growth is arrested on the paralyzed side in the hemiplegia fromcerebral apoplexy. This is tested by staining the nails of the twohands at the same level with nitric acid ; the relative position of thestain upon corresponding nails of the two hands will show whether therehas been growth or not. Return of functional power is indicated byrenewed growth. THE FINGERS. In gout and rheum
. A practical treatise on medical diagnosis for students and physicians . he course of syphilis ; and in sclerodactyly. The nails in some cases of Raynauds disease become dry, scaly, andcracked, or hypertrophied. The growth is arrested on the paralyzed side in the hemiplegia fromcerebral apoplexy. This is tested by staining the nails of the twohands at the same level with nitric acid ; the relative position of thestain upon corresponding nails of the two hands will show whether therehas been growth or not. Return of functional power is indicated byrenewed growth. THE FINGERS. In gout and rheumatism the joints of the fingers are enlarged and pain-ful. The swellings of the joints of each condition cannot well be dis-tinguished. In gout, tophi, hard, white, sometimes glistening masses arelikely to be present in the joints or along the tendons, on account ofgreat accumulation of sodium urate. They are more prominent on thedorsal surface of the joints, and sometimes break through the skin, so thatthe chalk-like concretion exudes. It was said by Sir Thomas Watson. Subacute or chronic articular rheumatism.
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