. Medical diagnosis for the student and practitioner. ental depression often associated with delusions of the hypochondriacalor even persecutory type. Carcinoma of the stomach in its advanced stages is frequently associatedwith a curiously morose or saturnine expression well shown in a famousstatue of Napoleon in his last This, when associated with markedemaciation and a peculiar muddy pallor, is most suggestive. Syphilis.—The syndrome formed by a peculiar eruption, coryza (snuf-fles), a hoarse cry, a weazened monkeyish face, fissured lips and raw nostrilsand buttocks, if seen in a babe
. Medical diagnosis for the student and practitioner. ental depression often associated with delusions of the hypochondriacalor even persecutory type. Carcinoma of the stomach in its advanced stages is frequently associatedwith a curiously morose or saturnine expression well shown in a famousstatue of Napoleon in his last This, when associated with markedemaciation and a peculiar muddy pallor, is most suggestive. Syphilis.—The syndrome formed by a peculiar eruption, coryza (snuf-fles), a hoarse cry, a weazened monkeyish face, fissured lips and raw nostrilsand buttocks, if seen in a babe, is pathognomonic of congenital syphilis. * Modern research has robbed the term of much of its meaning and ancient importancethrough the discovery of specific etiologic factors in relation to its manifestations. It would be absurd, for example, to refer to the furuncular or aneurysmal diathesisin the light of our present knowledge of the infections underlying these conditions. t In the Corcoran Gallery, Washington. THE OUTWARD SIGNS OF DISEASE 13. Fig. 1.—Classical fadesof untreated or inveteratelues. Areas of gray hairrepresenting past nose. Patientand his father both showedperforated palate. The permanent upper central incisors of the older children are oftenpeg-shaped, notched at their cutting edges, irregular and separated. Fine linear scars may radiate from the angles of the mouth, keratitis andchronic otitis media often co-exist, and at any age a frog-face may result fromsyphilitic necrosis of the nasal arch. Syphilitic alopecia may be presentalso, or may have left its mark in a patchy grayness of the hair. Many cases of past syphilitic infection give no evidence, the examinerbeing forced to put the direct or indirect question. The former may often-times be definitely and clearly put in the case ofmen, but it is usually wiser to ask casually first asto antecedent venereal or private disease, or,in certain instances of especial delicacy, to quietlysubm
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
