A treatise on the diseases of infancy and childhood . tions of theosseous system which involve the joints, as Pottsdisease, hip-disease, and white swelling, areusually quite amenable to treatment, early applied,which insures complete rest; but, as a rule, casesneglected, or wrongly treated, go from bad toworse. There are exceptions, for a case may dowell or terminate with moderate deformity with-out treatment, as in the following interesting in-stance, which also shows the difficulty whichoften attends diagnosis : Anna D., aged six years, came to the childrensclass in the Out-door Department a
A treatise on the diseases of infancy and childhood . tions of theosseous system which involve the joints, as Pottsdisease, hip-disease, and white swelling, areusually quite amenable to treatment, early applied,which insures complete rest; but, as a rule, casesneglected, or wrongly treated, go from bad toworse. There are exceptions, for a case may dowell or terminate with moderate deformity with-out treatment, as in the following interesting in-stance, which also shows the difficulty whichoften attends diagnosis : Anna D., aged six years, came to the childrensclass in the Out-door Department at Bellevue inFebruary, 1877, with the following history : Herhealth was good till two years ago, when she com-plained of pain of a mild form in both parents attributed it to her rapid growth,and she was always able to walk with little suffer-ing. Slowly but steadily these joints began to swell. She has had nopain in other joints, and no member of the family has had rheumatismexcept a grandparent. She walks without complaint to the rooms of. 148 STRUMOUS OPHTHALMIA. the Bureau. The affected joints are about equally swollen, and it isevident on examination that they contain some serous effusion. Directpressure is not painful, but pressing the bones together with a twistingor rotating movement gives some pain. She is pale, and has a stru-mous aspect. A sister of fifteen years has a similar swelling of oneknee, which began at the age of seven or eight years, but which hasreceived no regular treatment, has not prevented the free use of thelimb, and has given her little inconvenience. The physicians who have examined this child, one of whom is anexpert in orthopaedic surgery, agree that the disease is strumous andnot rheumatic, and that it did not, during two years of neglect and un-restrained motion, go on to suppuration and destruction of the joints,was probably due to her good general health. Though the result in the above case was good, since there was littleimpairment
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Keywords: ., bookcentury1800, bookdecade1880, bookidtreat, booksubjectchildren
