Identifier: diseasesofchildr00grah (find matches)
Title: Diseases of children
Year: 1916 (1910s)
Authors: Graham, Edwin Eldon, b. 1864
Subjects: Children Disease
Publisher: Philadelphia and New York, Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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y be found in the blood stream. Diagnosis.—The diagnosis is not usually attended with difficultyand is made on the acute onset, with localized symptoms usuallyreferable to one of the long bones, and accompanied by severe con-stitutional disturbances. Prognosis.—The prognosis is serious in very young children, and themortality is over 50 per cent. This is caused by the development of 518 DISEASES OF THE BONES AND JOINTS secondary foci of suppuration. In older children the outlook is muchbetter, and recovery may be expected in over 80 per cent, of cases. Treatment.—The treatment of acute infectious osteomyelitis issurgical. TUBERCULOSIS OF BONES. Bone tuberculosis may, as a part of miliary tuberculosis, give riseto an acute tuberculous osteomyelitis, but the chronic form of bonetuberculosis is by far the most common type. The bacilli are carriedto the bone through the blood stream, and iRay set up a destructiveinflammatory process in any part of the bone, but the infection usually
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Fig. 51.—Tuberculosis of toot. begins in the epiphysis. The process shows a tendency to extend,and, as a result, the neighboring joint and surrounding tissues becomeinvolved, with the formation of a cold abscess. Bone tuberculosis is usually secondary to some foci in the body.The human type of tubercle bacillus is practically always present.During the first three months of life, tuberculosis of bone is rare. Themost frequent sites are the neighborhood of joints of the vertebraeand the long bones, while the bones of the hands and fingers are veryrarely involved. Symptoms.—Pain is constant in bone tuberculosis, but is oftenindefinite and obscure. It is rarely present in the onset, and when SYPHILIS OF BONES 519 present is almost invariably referred to some other part. The sur-rounding tissues are gradually involved, causing swelling of the partand frequently, suppuration. The general health is impaired, andemaciation and cachexia develop in the later stages. Diagnosis.—The questio

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