An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . own of the clot in the centre of the tumor. It isobserved that if the tumor be opened soon after formation, bright-red bloodescapes; later the blood resembles the fluid found after old deposition of bony material on the under surface of the periosteumoccasions a crackling sensation when the tumor is palpated. The fluid escapesirr


An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . own of the clot in the centre of the tumor. It isobserved that if the tumor be opened soon after formation, bright-red bloodescapes; later the blood resembles the fluid found after old deposition of bony material on the under surface of the periosteumoccasions a crackling sensation when the tumor is palpated. The fluid escapesirregularly from beneath the tumor; sensitiveness is very rarely a prominentfeature. The bony ring surrounding the tumor forms gradually; thusBouchut observed a case before birth in which no ring was present. Semmel-weis is said to have seen cephalhfematoma in a child delivered by Csesareansection. INJURIES AND DISEASES OF THE NEW-BOBN. 71 a case Several tumors may develop in the same individual; thus we recall „^ under observation in the Philadelphia Hospital in which double cephalhse-matoma appeared on the head of a male child born after a normal labor. Triplecephalhsematoma has been observed by Oui after a precipitate birth in which Fig. Double Cephalhsematoma. the infant fell to the ground, the cord rupturing three or four centimetres fromthe umbilicus. Upon examination a tumor was found upon each parietal bone,and one upon the occipital. The tumors were treated by incision and evacua-tion under careful antiseptic precautions, and uninterrupted recovery ensued. The occurrence of cephalhsematoma is readily understood when the looseattachment of the pericranium to the bone is remembered; Valleix found thatin almost all infants ecchymosis between the pericranium and the skull ispresent after labor. It requires, then, but a constitutional liability to ecchy-mosis by reason of malnutrition to readily account for the occurrence ofsuch tumors. Cephalhsematoma, again, may develo


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