Identifier: pediatrics1319unse (find matches)
Title: Pediatrics.
Year: 1902 (1900s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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deglutition became increasingly difficultso that the hand was occasionally employed to retain food inthe mouth. Status Praesens.—A girl of average size for her age, butsomewhat pale and poorly nourished. The expressionless face,fallen lip and drooling mouth first arrest attention. She answersquestions indistinctly and laboriously; the speech defect showsinability to pronounce labials and denti-linguals; she cannot *This case was shown before The Chicago Pediatric Society in Feb-ruary : also before The Chicago Academy of Medicine in March, last. 4io PEDIATRICS wrinkle the forehead, elevate the eyebrows, close the eyescompletely, purse the lips, or smile; the tongue cannot beprotruded beyond the teeth or raised to the roof of the mouth;it is thickly coated, plainly shriveled and lies passively in the floorof the mouth with occasional flickering tremors. The pharynxpresents no gross lesions, but the uvula and palate show someanesthesia; the voice is monotonous and of nasal quality; the
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mouth is full of saliva which pours over the pendulous lip;the child masticates food slowly and swallows with markeddifficulty, at times choking and coughing. Fluids do not re-gurgitate through the nose, nor is there any history of thissymptom. The respiration is shallow and under excitement or exer-tion becomes slightly snoring; she also snores while asleep. PEDIATRICS The examination of the ocular fundus and ear gave nega-tive results, f Pupillary reflex normal. The range of ocularmovements is somewhat restricted toward the right. Slighthorizontal nystagmus is at times noticeable. She cannot closethe eyes completely, prolonged effort causing parallel deflec-tion upward and to the left. Eyes are constantly suffused,and there is conjunctival anesthesia. The general muscularsystem shows but little wasting. Patellar reflexes normal andco-ordination good. Electrical response to both galvanismand faradism normal, with the exception of the facial muscles,which show reaction of degeneration

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