Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . COXITIS TUBERCULOSA. 889 tensor fasciae latae; irregular temperature, especially during thestage of suppuration. Cases presenting the aforementioned typical symptoms arerecognizable at a glance. Indeed, at this late stage of the disease,it is almost immaterial whether a correct diagnosis is made or not,since a fatal issue from exhaustion, amyloid degeneration andgeneral tuberculosis is all that can be expected, particularly inchildren with a tuberculous diathesis.
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . COXITIS TUBERCULOSA. 889 tensor fasciae latae; irregular temperature, especially during thestage of suppuration. Cases presenting the aforementioned typical symptoms arerecognizable at a glance. Indeed, at this late stage of the disease,it is almost immaterial whether a correct diagnosis is made or not,since a fatal issue from exhaustion, amyloid degeneration andgeneral tuberculosis is all that can be expected, particularly inchildren with a tuberculous diathesis. The center of the physi-cians interest therefore should rest upon the diagnosis of incip-ient coxitis which, if properly treated, offers good prospect ofrecovery. A history of slight trauma; occasional dragging of the -Hip-joint Disease. Note compensatory lordosis on fulextension of affected limb. (Sheffield.) leg or limping; pain in the hip- or knee-joint; disinclination toplay and undue fatigue after slight exertion; restless sleep andstarting pain, all point to coxitis and demand very carefuland repeated examinations of the hip-joint. The diagnosis isgreatly facilitated and in the majority of instances renderedpositive by the presence of pain on pressure against the tro-chanter, or against the acetabulum (by digital rectal examination),and von Pirquets tuberculin test. Advanced coxitis can readilybe diagnosed by the aforementioned faulty attitude of thepatient, in recumbency, standing, or walking. In doubtful cases,an X-ray examination (by an experienced radiographer) isdecisive. The latter procedure is especially useful in differenti-ating coxitis from: Injury to the hip (disability follows imme-diately after the accident; local signs of injury, , ecchymosis,etc.); coxa vara (X-ray shows do
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
