. A practical treatise on medical diagnosis for students and physicians . Pulmonary osteo-arthropathy. 260 EXAMINATION OF THE BONES AND JOINTS. affection, and indicates disease of tlif posterior thoracic nerve. In exami-nation oi the demotes fractures must not be mistaken for disease of theI .ones, such as rhaehitis. The examination of the spinal of thegreatest importance. (See Spinal Joints.) A study of the diseases ofthe spinal column due to caries from tuberculosis is not within the prov-ince of this work ; do physical examination, however, is complete withoutan investigation of t
. A practical treatise on medical diagnosis for students and physicians . Pulmonary osteo-arthropathy. 260 EXAMINATION OF THE BONES AND JOINTS. affection, and indicates disease of tlif posterior thoracic nerve. In exami-nation oi the demotes fractures must not be mistaken for disease of theI .ones, such as rhaehitis. The examination of the spinal of thegreatest importance. (See Spinal Joints.) A study of the diseases ofthe spinal column due to caries from tuberculosis is not within the prov-ince of this work ; do physical examination, however, is complete withoutan investigation of the movability of the spine and the presence or absenceof curvature. I refer to the curvature due to weakness of groups ofspinal muscles. Functional disorders of the gastro-intestinal tract andthe litems are undoubtedly intensified by the presence of curvature, which Fig. Pulmonary osteoarthropathy. Female, aged eleven years. Tuberculous vertebral caries andpulmonary tuberculosis. Enlarged clubbed fingers and thickened ulna and radius. Privatepatient, 1885. (Original.) leads to deformity of the body, and hence to the assuming of abnormalpositions when sitting or walking. The recognition of lateral or anteriorcurvature leads to the adoption of lines of treatment which otherwisewould not be followed, but without which weak muscles, improper aerationof the blood, and sluggish circulation would persist. Pain in the distri-bution of nerves or at their termination is often due to spinal cariespressing on them as they pass through the foramina. The most notableis the pain about the umbilicus due to Potts disease in children. The bones and cartilages connected with the thorax will be consideredunder Diseases of the Lungs. Nodules or Nodes. Bone swellings are usually due to periostitis, thecauses of which are trauma, infection, and syphilis. In syphilitic perio
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