A textbook of obstetrics . liaccrests, by the firm constitu-tion of the bones after thedisease has been arrested,and by the signs of rachitisin other portions of thebody. Osteomalacia, be-sides, has certain peculiari-ties of its own that enableone to recognize it withoutdifficulty. Diagnosis. —The diag-nosis of a rachitic pelvis ismade by external and inter-nal measurements, by pal-pation of the exterior andtinerior of the pelvis, by thewomans history, and by herappearance. An individualwho has had rachitis in childhood is usually of small stature, with short, thick, curvedextremities ; a low,
A textbook of obstetrics . liaccrests, by the firm constitu-tion of the bones after thedisease has been arrested,and by the signs of rachitisin other portions of thebody. Osteomalacia, be-sides, has certain peculiari-ties of its own that enableone to recognize it withoutdifficulty. Diagnosis. —The diag-nosis of a rachitic pelvis ismade by external and inter-nal measurements, by pal-pation of the exterior andtinerior of the pelvis, by thewomans history, and by herappearance. An individualwho has had rachitis in childhood is usually of small stature, with short, thick, curvedextremities ; a low, broad brow ; a large, square head ; a flat nose ;a chicken breast, and enlarged joints. The lumbar lordosis andthe rotation of the sacrum produce a sway-back, most noticeablewhen the woman lies on her back upon a hard surface. When shestands erect the pregnant uterus near term falls abnormally for-ward and downward, on account n( the short abdomen and lack ofengagement of the presenting part (Fig. 300). The most charac-. ?Pendulous belly of rachitis(Charpentier). 446 THE PATHOLOGY OF LABOR. teristic facts in her history arc that she walked first at three or fouryears of age and was late in getting her teeth. By the pelvimeter the normal relation between the iliac spines and crests is founddisturbed. The difference in distances between the former andbetween the latter is much reduced. The posterior superiorspinous processes are approximated, and the depression underthe last spinous process of the lumbar vertebra approaches or isactually in the line drawn between them. The external antero-posterior diameter of Baudelocque is below the normal. Inter-
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
