. Medical diagnosis for the student and practitioner. ssional athletes, and big-bellied heavyweights are not as a rule long-lived. Necessary discrimination. 58 MEDICAL DIAGNOSIS Stumblingblocks. Diseases ofinfancy andyouth. AGE—RACE—SEX—HABITS—SOCIAL STATE AND RESIDENCE AGE.—Age Estimation.—By. practice and observation we can usuallyestimate closely the age of patients, but hair dye and modern beauty parlorsmay deceive the very elect among case-takers. On the other hand, manlychivalry may be a stumbling block and, in the case of women at least, likethe tactful census enumerator, we may at time
. Medical diagnosis for the student and practitioner. ssional athletes, and big-bellied heavyweights are not as a rule long-lived. Necessary discrimination. 58 MEDICAL DIAGNOSIS Stumblingblocks. Diseases ofinfancy andyouth. AGE—RACE—SEX—HABITS—SOCIAL STATE AND RESIDENCE AGE.—Age Estimation.—By. practice and observation we can usuallyestimate closely the age of patients, but hair dye and modern beauty parlorsmay deceive the very elect among case-takers. On the other hand, manlychivalry may be a stumbling block and, in the case of women at least, likethe tactful census enumerator, we may at times be obliged to accept state-ments with a mental reservation which should find a place in the case history.* Certain ages represent a special predisposition to certain diseases, acuteand chronic. In infancy and childhood we meet especially with acute digestive dis-turbances, spasmophilia, rickets, the exanthemata, affections of the lymphglands, meningitis, infantile palsies, epilepsy, chorea, croup, cretinism andcongenital heart Fig. i6.—Rapid aging. An active energetic man aged forty-nine.(Compare with Figure 17, page 59.) Tuberculosis attacks the young with an especial frequency and a re-sultant higher mortality, but in those under the age of puberty it is peculiarlyliable to affect the lymph glands, particularly those of the cervical triangles,the bones, or the abdomen. During adolescence, chlorosis, various forms of hysteria, epilepsy,acute rheumatism, gastric ulcer and tuberculosis are extremely common. * In certain very rare instances the appearance of youth is maintained without the useof artificial beautifiers. The author recalls one woman, thirty-five years of age, who had theface of a girl of sixteen. AGE—RACE—SEX—HABITS—SOCIAL STATE AND RESIDENCE 59 As middle age approaches, the tendency to the exanthemata and toacute infections is diminished and a predisposition to degenerative diseasesof a chronic type appears. Such are arteriosclero
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