. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. called rib rosary. This is a thickening of the costochondraljunction of the rib, in which the rachitic processes above describedare very active. Deformity of the thorax follows in course of thorax becomes prominent at the sternum and flattened in themidaxillary region from the axilla to the free border of the ribs (PlateIV). There is a distinct incurvation of the thorax above, and aflaring below. The thorax is much narrowed at the clavicles, witha flaring outward of the lower ribs
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. called rib rosary. This is a thickening of the costochondraljunction of the rib, in which the rachitic processes above describedare very active. Deformity of the thorax follows in course of thorax becomes prominent at the sternum and flattened in themidaxillary region from the axilla to the free border of the ribs (PlateIV). There is a distinct incurvation of the thorax above, and aflaring below. The thorax is much narrowed at the clavicles, witha flaring outward of the lower ribs. Respiration, especially inspira-tion, is much interfered with. The sides of the thorax are drawn While the lateral and posterior fontanelles close duriiij; the first months of infancy,the anterior fontanelle increases in its longitudinal and transverse diameter with thegrowth of the cranium up to the twelfth month. The growth of the anterior fontanellewas first observed by Elsasser. Although denied by Kassowitz it has been recentlyproved by Rhode that the contention of Elsasser is correct. PLATE IV. Rachitis. Showing the cuboldal shape of the head, thethoracic deformity, the beaded ribs, the protuberant abdo-men, and the enlarged lo^A?er end of the radius. RACHITIS 235 inward at the diaphragm at each inspiration. In an attack of severebronchitis or bronchopneumonia, the drawing inward of the sides ofthe chest becomes still more marked. In some cases the sternumalone is affected. There is a sinking of the sternum, with resultingchest deformity. Some forms of rachitis affect only the ribs or partof the thorax. While the rachitic process is in progress, the chestcircumference does not increase; it begins to do so when the diseasehas run its course in the thorax.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
