Identifier: pediatrics9190unse (find matches)
Title: Pediatrics.
Year: 1900 (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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g status: A very well nourished boy; muscular and adipose tissuesquite well developed, and very tall for his age. His weight is84 lbs. The examination of the thorax showed both heart andlungs normal; no cough; heart sounds regular, strong; pulse,96. The temperature was 100.2 in the rectum, and respiration36. The tongue was slightly coated ; appetitite good; bowelsalways inclined to constipation; but recently since riding thewheel, very much improved. Intellect free, and boy ismentally well developed. The examination of the joints showed severe tenderness andswelling in both knees and ankles; slight pain on palpating or PEDIATRICS. rotating the hip joint. The most marked tenderness andswelling was found at the knee joints. The upper extremities,—shoulder, elbow and wrist—were perfectly normal, as far aspalpation and inspection could demonstrate. The eruption onthe skin was of a purplish or bluish color, and looked like adistinct subcutaneous hemorrhage. It was confined to the lower
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extremities, covering almost completely the inner portions ofboth thighs, the ankles, and more especially the calves of bothlegs. The spots were very irregular in outline, in some placesconfluent, resembling more particularly the eruption of morbilli. The child was put to bed, the joints were renderedimmobile by applying woolen roller bandages over them, and PEDIATRICS. locally over each joint some salicylic collodion, 10 per cent.,was applied with a camels hair brush. The main point in the treatment which I laid stress uponwas to have absolute rest, and it was for this reason that I putthe child to bed, that I painted salicylic collodion, andthat I put a roller (flannel) bandage on the legs and coveredboth limbs from the toes to the hip joint. InternallyI gave ergotine, y50 grain every four hours, besides 15drops of tinct. ferri acet. seth. in water after each meal, threetimes a day. The spots gradually changed from a deepbluish color to a brown; then after ten days to a light yellow

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