Care and feeding of infants and children; a text-book for trained nurses . Fig. 74.—Pigeon-breast, resulting from rickets. however, to have both diseases occurring in the same patient atthe same time ( Fig. 78). Symptoms.—The disease is characterized by pain and tender-ness along the shafts of the bones, due to subperiosteal hemor-rhages. The child frequently screams with pain when beingchanged or otherwise handled. Such sensibility is always sig-nificant and should awaken the nurses suspicion a^ to the pos- 154 CARE OF INFANTS AND CHILDREN sibility of scurvy. These hemorrhages sometimes later
Care and feeding of infants and children; a text-book for trained nurses . Fig. 74.—Pigeon-breast, resulting from rickets. however, to have both diseases occurring in the same patient atthe same time ( Fig. 78). Symptoms.—The disease is characterized by pain and tender-ness along the shafts of the bones, due to subperiosteal hemor-rhages. The child frequently screams with pain when beingchanged or otherwise handled. Such sensibility is always sig-nificant and should awaken the nurses suspicion a^ to the pos- 154 CARE OF INFANTS AND CHILDREN sibility of scurvy. These hemorrhages sometimes later invadethe tissues and may be seen as yellow areas where the tissuesand skin have been stained by the blood pigment. Hemor-rhages around the eyes with ecchymosis resembling black eye,occur occasionally in these cases (Fig. 78). Hemorrhages around the teeth are characteristic and are seenas a blue line on the margin of the gums, and it is not uncom-mon to see a blood-blister over the crown of a prospective Fig. 75.—Scoliosis resulting from 76 —Lordosis resulting rom 77.—Kyphosis, resulting from rickets. There is usually marked anaemia. These cases are bad sub-jects for surgery, as the hemorrhage is difficult to check owingto the slowness with which the blood clots. Prevention.—Babies on the breast never develop children are fed on any sterilized food, either cows milkor the proprietary foods, some uncooked fruit or vegetable juiceshould be given daily. DISEASES OF NUTRITION 155 Treatment.—When scurvy has ah-eady developed, orangejuice is a specific. If orange juice is too laxative some otheruncooked fruit juice should be given. The anaemia and associ-ated rickets will gradually disappear under the proper food andmedication. PuRPUR.\, Mel.^na Neonatorum, and PURPURA Purpura is the name applied to the spontaneous extravasa-tion of blood in and beneath the skin and mucous membranes.*
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