Identifier: diseasesofchi00mcco (find matches)
Title: Diseases of children
Year: 1916 (1910s)
Authors: McCombs, Robert Shelmerdine, 1880- (from old catalog)
Subjects: Children Pediatric nurses
Publisher: Phialdelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ve formation of the bony struc-tures. It usually develops during the first or secondyear; it is not congenital. Poverty, artificial food, andbad hygienic surroundings are the predisposing causes.Breast-fed children rarely have rickets. The bones aresoft, being extremely deficient in lime salts, and whenossification finally results the bones become heavy, large,and irregular in outlines. This causes such deformitiesas bow-legs, knock-knees, spinal curvature, pigeon-breast,and square cranium. The liver and spleen are oftenenlarged. The negro race is especially prone to thedisease. Symptoms.—The early symptoms are restlessnessand slight fever at night, free perspiration about the head,diffuse soreness and tenderness of the body, prominenceof the abdomen, pallor, slight diarrhea, delayed dentition,and the eruption of badly formed teeth. Skeletal Phenomena.—The head is large and more orless square in outline; careful palpation may detect soft CONSTITUTIONAL AND NUTRITIONAL DISEASES 353
Text Appearing After Image:
Fig. ioo.—Rachitic boy of three years. A large and somewhat angular head. Thetypic posture of a rachitic child, with the arms supported at his side. Curvature of theclavicles and the spine causes the neck to appear short. Contraction of the lateral di-ameter of the thorax; abdomen protrudes; curvature of the bones of the forearm(Hecker, Trumpp, and Abt). areas in the skull. The fontanel closes late. The sidesof the chest are flattened, the sternum is prominent;nodules can be felt at the sternal end of the ribs called^^ rachitic rosary J There may be a distinct transverse23 354 DISEASES OF CHILDREN FOR NURSES groove at the level of the ensiform cartilage called Harri-son^s groove.^ The spinal column is frequently curvedanteroposteriorly called kyphosis; or latterly when it istermed scoliosis. The long bones are curved and promi-nent at the extremities. This prominence leads to en-largements at the wrists and ankles. The deformities of the legs may be marked. At timesit is impossible

Note About Images