. Physical diagnosis . Fig. 49.—a, Acromegalic Hand, b, Normal Hand. 2. Flipper hand (see Fig. 47), a common result of the contrac-tures in late cases of atrophic arthritis. Other deformities of thefingers are common in this disease and in gout (see below, page 472). 3. Hemiplegic hand, a result of the contractures following hemi-plegia from any cause. 4. Myxoedema results in thickening and coarsening of the tissuesof the hand (spade hand) without bony enlargement; but the spadehand is a fairly common type without myxoedema, and one needs to see 1 When the parathyroid glands are accidentally r
. Physical diagnosis . Fig. 49.—a, Acromegalic Hand, b, Normal Hand. 2. Flipper hand (see Fig. 47), a common result of the contrac-tures in late cases of atrophic arthritis. Other deformities of thefingers are common in this disease and in gout (see below, page 472). 3. Hemiplegic hand, a result of the contractures following hemi-plegia from any cause. 4. Myxoedema results in thickening and coarsening of the tissuesof the hand (spade hand) without bony enlargement; but the spadehand is a fairly common type without myxoedema, and one needs to see 1 When the parathyroid glands are accidentally removed. 52 PHYSICAL DIAGNOSIS it rapidly develop in connection with other myxedematous lesionsbefore it can have diagnostic significance. (The same is true of themyxcedematous face.) (See Fig. 48.). Fig. 50.—Atrophic Arthritb.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
