An American text-book of the diseases of children (1895) (14782046202)

Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library



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d the bridge of the nose is flattened. Enlargement of the spleen canfrequently be detected on abdominal palpation. In acute tuberculosis there is fever, the rectal temperature reaching 100° to101° F. in the evening; cough with irregularly distributed bronchial rales, andusually slight oedema of the legs. When symptoms resembling those of tubercular meningitis are present, itis often necessary to delay a definite opinion. In simple atrophy, however,the open fontanelle is level or depressed; the belly is never scaphoid; thebowels, though frequently constipated, are never locked ; vomiting is aptto be associated with diarrhoea; the respiration and pulse are regular inrhythm ; the temperature, as a rule, is subnormal; there is no hydiencephaliccry; and the antecedent history and the course are different from the tuber-cular disease. Prognosis.—A vast number of cases die annually in our large cities, yetthe results of appropriate management are often rapidly and surprisingly PLATE XVI.
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CASE OF SIMPLE ATROPHY, set. three months. Weight at birth, 4 lbs.; weight on admission to Childrens Hospital, 3% lbs. Fed on a mixture of cane-sugar and water. (Died twelve hours after admission to hospital.) SIMPLE ATROPHY. 523 successful. Patients should never be given up unless there be extreme wastingand prostration, or unless the symptoms of spurious hydrocephalus arise,convulsions occur, or obstinate chronic vomiting or diarrhoea be developed. Treatment.—For the arrest of wasting from insufficient nourishment, thefirst and main thing to be attended to is the diet. Without entering at lengthinto this subject,1 it may be stated, as a uniform rule, that in selecting a dietthe object should be to fix upon one suited to the age and digestive powersof the child, so that he may be able to digest, and, therefore, be nourished by,all the food consumed. Generally, infants under twelve months who have to be either partially orentirely brought up by hand do well upon cows milk, diluted w