The diseases of children : a short introduction to their study / by James Frederic Goodhart.

  • Sir James Goodhart, 1st Baronet
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: The diseases of children : a short introduction to their study / by James Frederic Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    cxtrenio form in such as have not been allowed to walk or sit up undnly. Another important point as reyards the rachitic ^keleton is that the bones are stunted in their growth, and in extreme cases the child may be severely dwarfed l>y this means. Muscular Symptoms.—The muscles all over the l)ody are often excessively painful; not oidy the muscles of the extremities, but those also f)f the hack and ab- domen. Pressure is very painful to these children, and they will often cry bitterly whenever they are mo\ ed. This condition may l)e present even befoi'e the changes in the Ijones are at all prominent. Home children are de.scribed as sci'eaming whenevei' any attempt is made to move them ; but I am inclined to think that in such there is likely to be some periosteal lesion, such as is described on pj). 628-31 as a com- bination of rickets and scur\’y. Nervous Symptoms.—Convulsions, tetany, and larvngi.smus are in a very large number of cases as.so- ciated with lackets. Indeed, so commonly is this the case, that laryngismus })ai ticularly is thought by many to be always I'achitic. All these afiections are described elsewbere—convulsions and tetany as di.seases of the nei'vous system, pj). 537, 548, and laiyngismus under tlichead of laiyngeal spasm, j>. 290 H scq. Zonular cataract, where some of the strata of the l(‘ns between the nucleus and the cortex becomeopacpie, lea\ ing the mai-gin and central part ch'ai’, is a liability w bich attaches to infantile com ulsions, and therefore to rickets. Why this is so, we know not. Glandular Symptoms.—'I'he lyni])liatic glands all over the body become slightly enlarged and assume a sliotty feeling in rickets, and, .although this cannot be said to be common if w(s compute the entire number of rachitic children, they, or an enlarged spleen and aiiaania, should always direct our attention to the jiossibility of the existence of l ickets. Dental Symptoms.—Dentition is much delayed in
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