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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dusky-red appearance from its increased vascularity. After a variable time—weeks or months according to the severity of the disease—deformities beginto appear. 2. Anatomical Characters of the Stage of Deformity.—Charactersof the Rachitic Foetus.—Spiegelbergs description of the rachitic foetus cor-responds for the most part with what I observed in the one whose skeletonis represented in a foregoing page. According to this writer, the body andlimbs are plump, the latter short and curved, the abdomen large and prominent,and the head sometimes hydrocephalic. The skin is well developed and mov-able, the adipose tissue sufficient, the liver large, the epiphyses swollen andsoft, the short and curved diaphyses sometimes broken ; the rotundity of thethorax is preserved, and the sternum is not carried forward, since there hasbeen no respiration. The ribs in softness and liability to fracture correspondwith the long bones of the extremities. The sternum, most of all the bones, PLATE XIV.
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RACHITIS. RACHITIS. 347 shows the delay m ossification; the clavicle is among those least affected. Thecranium may be represented by a membranous bag with plaques of bone, orthe cranial bones may be formed and in shape, but thickened and softened;the sacral promontory is pressed forward and downward; the ilia flattenedand widened; the pubic arch increased. Characters of the Rachitic Child.—In typical rachitis the bone sel-dom retains its normal form or shape : its projecting points are rounded, and►n as it softens it begins to yield to pressure exerted upon it. Hence thecurvatures so common and characteristic. The portion of a long bone whichis formed after rachitis commences contains so little earthy matter that it bendsreadily in its fresh state either by muscular action or by the weight of thetrunk in the manner,* says Vogel, of a quill or willow stick. The interiorof the bone, which was formed before rachitis began, and which contains nearlyor quite the normal proportion of li

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