Identifier: americanjournroen07ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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ving, three died ininfancy. Present illness: Full time baby, al-ways poorly nourished, weighed four poundsat birth. He has been fed on a mixture of aproprietary infant food and whole milk, to-tal quantity per diem, one pint of milk plusone pint of water and five tablespoonfuls ofthe proprietary food. On the night of July3, 1919, the mother let the baby sleep on thefloor and the next morning she noticed thathis right foot and ankle were swollen. Thisswelling progressed to the hip and then theleft leg also became swollen. On admission,July 14, 1919, the baby slept poorly, awak-ened easily, would not hold up his head normove his legs. Physical examination: Theforehead was moist. He did not use hislegs which were tender to the touch. Thebones around all the joints were enlarged, especially at the wrists, shoulders, anklesand knees, with swelling of the overlyingtissues. The bones of the legs, especially thetibiae, appeared thickened and the legs weretender and edematous. There was no evi-
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FiG. 3. Lower Extremities Thirty-four DaysAfter Admission , September 16, 1919. Decidedcalcification of hemorrhages. The Hne of decreaseddensity has disappeared from the lower end of theright femur, but a line of increased density re-mains, though it is further from the epiphysealline through growth of the bone. On the left sidethe hemorrhage is calcifying beyond the line ofdecreased densitj^ dence of spina bifida or torticollis. Kernigssign was absent. The gums did not bleed.The lungs, heart and abdomen were nega-tive. The urine examination w^as negative.Temperature 101-102. During the physicalexamination a rachitic rosary wasdetected. Roentgen Findings.—A roentgen exam-ination was made July 14, 1919, on the dayof admission, and ten days after the swellingwas first noticed by the mother. The requestfor the examination read, Examine alllong bones of legs for evidences of scurvyor osteomyelitis. The roentgen report rendered was, Prob-able early changes of scurvy. This diagno- 374 A C

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