. Physical diagnosis . Fig. 36.—Rachitic Epiphysitis. Fig. 37.—Sarcoma of Ulna. In the wrist bones we find: 1. Rachitic enlargement of the epiphyses. In rickets the terminalepiphyses at the wrists take part in the general epiphyseal enlargementso common in the disease. The diagnosis is easy, for there is no otherdisease of infancy producing general enlargement of the epiphyses (see Fig- 36). 2. Hypertrophic pulmonary osteoarthropathy (Figs. 38, 39, and 40).An enlargement of the lower ends of the radius and ulna, with clubbing 1 Bursitis over the olecranon (miners elbow) produces a tender fluct
. Physical diagnosis . Fig. 36.—Rachitic Epiphysitis. Fig. 37.—Sarcoma of Ulna. In the wrist bones we find: 1. Rachitic enlargement of the epiphyses. In rickets the terminalepiphyses at the wrists take part in the general epiphyseal enlargementso common in the disease. The diagnosis is easy, for there is no otherdisease of infancy producing general enlargement of the epiphyses (see Fig- 36). 2. Hypertrophic pulmonary osteoarthropathy (Figs. 38, 39, and 40).An enlargement of the lower ends of the radius and ulna, with clubbing 1 Bursitis over the olecranon (miners elbow) produces a tender fluctuating swellingover the tip of the elbow. THE HANDS 43 of the fingers (see below, page 53), is recognized by its association withpulmonary or pleural diseases of many years duration (bronchiectasis,phthisis, empyema). 3. Acromegalia (see page 8) affects chiefly the bones and soft tissuesof the hand. 4. Hypertrophic, atrophic, or tuberculous disease of the wrist-jointwill be described below (see Examinations of the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
