Identifier: internalmedicine02wils (find matches)
Title: Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index
Year: 1920 (1920s)
Authors: Wilson, J. C. (James Cornelius), 1847-1934 Potter, Nathaniel Bowditch, 1869-1919
Subjects: Medicine Diagnosis
Publisher: Philadelphia, London, J. B. Lippincott Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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hout influence in predisposing to the disease. Association with Other Diseases.—It has been assumed that there issome causal relation between lesions of the nervous sjstem and osteitis 834 MEDICAL DIAGNOSIS. deformans. No constant relationship has, however, been established and inthe greater number of the cases there has been an entire absence of phe-nomena indicating nervous or visceral disease. Arthritis deformans has in afew instances coexisted with osteitis deformans. This association appearsto have been a coincidence and there is no reason to believe that there isany causal relationship or interdependence between the two affections. The EXCITING CAUSE of the disease remains wholly unknown. Symptoms.—The manifestations of osteitis deformans are chiefly objec-tive. The onset is insidious, sometimes involving a single bone or a limitednumber of bones, but in the course of time showing a tendency to symmetri-cal involvement of the skeleton. Individuals suffering from this disease
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Fig.407a.—Skiagram showing deformity of radiusand ulna. Fig. 4076.—Skiagram showing deformity of tibiaand fibula. present as the result of definite skeletal deformities a remarkable resem-blance to each other. There is thickening of the bones of the skull and analteration in its shape. The calvarium becomes flattened, the brov; broad,the parietal regions prominent. The general circumference is increased sothat the patient has to wear a larger hat than formerly. The face is irregu-larly egg-shaped or triangular, the base being at the forehead and the apexat the chin. The head is carried forward with the chin sunk upon thebreast. There is cervicodorsal kyphosis, flattening of the thorax at thetipper part, spreading at its base, the abdomen is diamond-shaped andshows a deep transverse sulcus, the hips are increased in width and thelower extremities markedly curved outward and forward, while owing tothe decrease in height amounting in some instances to several inches, thearms appear d

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