Identifier: practicaltreatis1904muss (find matches)
Title: A practical treatise on medical diagnosis for students and physicians
Year: 1904 (1900s)
Authors: Musser, John Herr, 1856-1912 Pancoast, Henry
Subjects: Diagnosis Diagnosis, Radioscopic Diagnosis
Publisher: Philadelphia and New York : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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:
area causes changes in color,or atrophy of the pigment may causeleucoderma. The secretion of sweat isdiminished or entirely abolished. In thediffuse form the affection begins in theextremities or face and is accompanied bya sense of stiffness or tension; the skinis usually hard and iirm, and graduallya diffuse brawny induration develops.The skin cannot be picked up in folds.It may appear normal, but is generallyvery smooth, glossy, and dryer than usual, rarely pigmented. Sclerodermamay be confined to a limb or may become universal. The appearance ofthe face is characteristic. It is expressionless, and the lips can not bemoved, while mastication is impossible; the eyes and the nose aredeformed. The hands become fixed, and the fingers immobile and con-tracted from induration about the joints, the deformity being calledsclerodacfi/le. The affection is thought to be due to a trophoneurosis orto fibrosis of the arteries of the skin, with connective-tissue over-growthin the adjacent areas.
Text Appearing After Image:
Adlpnsa dolorosa.—Note accumulationson back and on extremities. See kneesand elbows ; wrists and ankles unusuallysmall. Patient aged flfty-six. Secondattack of insanity. fOriginal.) 236 EXAMINATION OF THE SUBCUTANEOUS CONNECTIVE TISSUE. Brawny Induration. CEdema must uot be confounded with the brawny induration of thecalves of the legs in scurvy, probably from deep-seated hemorrhage. Itmust be remembered, however, that oedema of the ankles is very commonin this affection. Brawny induration may also be found in syphilis. Ina patient under the writers care in the Presbyterian Hosjsital a brawnyinduration of the thigh, with painless swelling and stiffness of the leg,was apparently due to syphilis, as it disappeared rapidly under treatmentwith potassium iodide. Localized Subcutaneous Nodules. Sarcomata. The subcutaneous nodules are rarely if ever confoundedwith oedema or other swellings. In sarcoma the subcutaneous tumorbecomes attached to the skin and may change its color. It is usuall

Note About Images