. Medical diagnosis for the student and practitioner. ute rheumatism, especiallyin children. These persist for weeks or —This common symptom is due to paralysis of themusculospiral nerve as the result of direct injury or poisoning by lead oralcohol. THE FINGER-NAILS.—Chronic indolent ulceration (onychia) surround-ing the nail suggests syphilis or marked malnutrition but occurs also intuberculosis, leprosy, syringomyelia,neuritis and chloral habit. Brittle, striated, or split nails, withor without marked deformity, most fre-quently occur in connection with gout,peripheral neur
. Medical diagnosis for the student and practitioner. ute rheumatism, especiallyin children. These persist for weeks or —This common symptom is due to paralysis of themusculospiral nerve as the result of direct injury or poisoning by lead oralcohol. THE FINGER-NAILS.—Chronic indolent ulceration (onychia) surround-ing the nail suggests syphilis or marked malnutrition but occurs also intuberculosis, leprosy, syringomyelia,neuritis and chloral habit. Brittle, striated, or split nails, withor without marked deformity, most fre-quently occur in connection with gout,peripheral neuritis, syringomyelia, andprolonged repeated exposures to theX-ray. Most important to the case-taker attimes are the transverse ridges indicatinga past severe illness. These are easily noted, last for a period of six or eight months, and by the proximity to thematrix indicate approximately the date of the causative ailment. Fig. 12.—1. Heber-dens nodes. 2. Syph-ilitic dactylitis. fingers. Spade hand Fig. 13.—Clubbed ringers. Chronicpulmonary disease. Myxedema and acromegaly. Deadfingers. Tridenthand. Rheumaticnodules. Register pastillnesses. 42 MEDICAL DIAGNOSIS Colorindicators Rachitis andscorbutus. Barlows disease. The nails are also color indicators for cyanosis and anemia and will showthe ebb and flow of the capillary pulse in aortic regurgitation. Nail-shedding occurs after injury to the matrix or may be the result ofneuritis, locomotor ataxia, or syphilis. THE ARM AND LEG.—Many of the conditions affecting these extremi-ties, such as edema, pain and tenderness, are discussed under their appro-priate headings. Hard, circumscribed, immovable, bilateral, non-mflammatory swellings,Luetic nodes, upon either the ulna or tibia, are usually syphilitic nodes, and the more diffuse,bilateral, painful enlargements of the tibia often associated with nocturnalincrease of pain usually prove to be luetic when the modern tests are app
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
