Care and feeding of infants and children; a text-book for trained nurses . .r, and one-half years old. (Holt, Childhood, Appleton.) Fig. 84.—Typical cretin. (Holt, Diseases of Infancy and Childhood, .^ppleton.) from the presence of umbilical hernia. The fingers are shortand stumpy. The mental development is as backward as the physical, andwhen six or eight years old the mentality is often that of a childof one year or less. The disposition is usually placid and apathetic. There arelacking the spasmodic fits of anger so common in the other formsof the mentally defective. 176 CARE OF INFANTS AND
Care and feeding of infants and children; a text-book for trained nurses . .r, and one-half years old. (Holt, Childhood, Appleton.) Fig. 84.—Typical cretin. (Holt, Diseases of Infancy and Childhood, .^ppleton.) from the presence of umbilical hernia. The fingers are shortand stumpy. The mental development is as backward as the physical, andwhen six or eight years old the mentality is often that of a childof one year or less. The disposition is usually placid and apathetic. There arelacking the spasmodic fits of anger so common in the other formsof the mentally defective. 176 CARE OF INFANTS AND CHILDREN Treatment.—The treatment consists in supplying the properamount of thyroid secretion. This is usually derived from thethyroid gland of the sheep and given in tablet form. An ex-cessive amount may produce symptoms of hyperthyroidism which. —After six months treatment with thyroid extract. (Holt, Diseases of Infancy and Childhood, are not unlike those of exophthalmic goitre/ , rapid andirregular heart and muscular tremor. If a diagnosis is made sufficiently early and treatment begunand persisted in, these cases may develop almost normally. Incase of long standing, the results of treatment will be corre-spondingly unsatisfactory. ^ For hyperthyroidism and exophthalmic goitre, see a treatise on gen-eral medicine. CHAPTER XXII CONGENITAL DEFORMITIES: CLUB-FOOT—CON-GENITAL DISLOCATION OF THE HIP—MAL-FORMATIONS OF THE LIPS, TONGUE, ANDPALATE Club-footThere are four simple forms of club-foot or talipes de-scribed, namely: 1. Talipes equinus, a condition in which the foot is extended,the heel being drawn up. In this position the patient walks uponthe ends of the heads of the metatarsal bones, an attitude thatsuggested the name equinus (horse-like). 2. Talipes calcaneus, the dorsi-flexed foot, in whic
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