. Diseases of children. Fig. 78.—Scorbutus; same child as shown in a;-ray plate. While ecchymoses in the skin are not common, there are usuallychanges in the gums and mouth from the beginning of the gums become swollen and purple, and may almost cover theteeth, particularly the upper incisors. They bleed when touched,and hemorrhages may be spontaneous. Bleeding sometimes takesplace in the vault of the pharynx and conjunctiva, and blood is fre-quently vomited or passed in the urine and feces. The stools arerarely normal in severe cases, for there is usually catarrhal colitis. These
. Diseases of children. Fig. 78.—Scorbutus; same child as shown in a;-ray plate. While ecchymoses in the skin are not common, there are usuallychanges in the gums and mouth from the beginning of the gums become swollen and purple, and may almost cover theteeth, particularly the upper incisors. They bleed when touched,and hemorrhages may be spontaneous. Bleeding sometimes takesplace in the vault of the pharynx and conjunctiva, and blood is fre-quently vomited or passed in the urine and feces. The stools arerarely normal in severe cases, for there is usually catarrhal colitis. These symptoms all come on gradually with irregular intervals PLATE IV. X-ray Plate of Child Sho^^^n in Fig. 78. 1 and 2 show subperiosteal hemorrhages and slight ealeifieation ofperiosteuni ; 8, expanded ends of diaphyses ; 4, praetieally normalepiphyses. TREATMENT 767 of apparent improvement, and no change in the childs generalhealth may be noted for several weeks; but, sooner or later, evidencesof malnutrition and anemia appear, and it becomes cachectic andemaciated. In advanced cases there is usually irregular and inconstant fever,often due to complications; and, unless treatment is instituted, allof the symptoms grow steadily worse and the case terminates fatallyin from two to four months* by general asthenia, or some intercurrentinfection or complication. Diagnosis.—^The diagnosis of scurvy can readily be thosewho have previously seen cases of the disease, and once it is suspectedand its cardinal features looked for, there is but little trouble in recog-nizing it. The history of an infant crying on being taken up, and a historyof such feed
Size: 1283px × 1948px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubject, booksubjectchildren
