. A practical treatise on medical diagnosis for students and physicians . lammation (subluxations); (2) local neuritis and paralysis ; (3) pro-gressive (spinal) muscular atrophy; (4) or rarely idiopathic muscularatrophy. THE HANDS. Shape. We bear in mind the variation in the shape of the handin different types of individuals—the broad and heavy hand of the san-guine, the slender, dexterous hand of an individual of the nervous tem-perament (see Chapter XIX., Part I.), the large joints of the hand of Fig. 29. Pseudomuscular atrophy. Claw-hand. (Gray.) so-called strumous persons, and the effemina
. A practical treatise on medical diagnosis for students and physicians . lammation (subluxations); (2) local neuritis and paralysis ; (3) pro-gressive (spinal) muscular atrophy; (4) or rarely idiopathic muscularatrophy. THE HANDS. Shape. We bear in mind the variation in the shape of the handin different types of individuals—the broad and heavy hand of the san-guine, the slender, dexterous hand of an individual of the nervous tem-perament (see Chapter XIX., Part I.), the large joints of the hand of Fig. 29. Pseudomuscular atrophy. Claw-hand. (Gray.) so-called strumous persons, and the effeminate hand of one who is inclinedto tuberculosis, present sharp contrasts. Then, too, the occupation hand indicates in a general way the disease the patient is liable to—nonemore striking than the hand of the miner, the blue-black dottings of THE HANDS. 197 which clearly indicate tiie possibility of anthracosis. Finally, we notethe broad hand and clubbed fingers that are seen in congenital heartdisease. The withered hand of age and wasting of the hands, as in Fig. Rheumatoid arthritis. The tapering fingers are seen. The phalangeal joints are swollen;many are anchylosed. The wrist is stiff. The muscles are atrophied ; the forearm muscles much•wasted. (Original.) Fig. 31.
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