File:Pediatrics. (1900) (14765486615).jpg

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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emphysema, in spite of a somewhat irregular course of codliver oil, iron and arsenic. On August 15, 1899, he was seized with an unusuallysevere attack. Still, as no complications could be discovered,I expected to see him recover as he usually did. On Friday, August 18th, the patients father came to callme in a hurry. My boy is choking!—that was all he knew. i6 PEDIATRICS. Upon arrival I found the patient sitting in his bed, kneesdrawn up, elbows upon his knees, and chin upon his palms.He looked terrified; he would answer no questions, and seemedto pay attention to nothing in the world. His eyes weresunken, his lips slightly cyanosed. His pulse was rapid,slightly irregular; breathing forty per minute, shallow. Uponcloser inspection I discovered that his neck and upper chest
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assumed an exceedingly abnormal shape. His neck had becomevery much thickened. The natural grooves at either extremityand either side of the sterno-cleido-mastoid muscle were filledout. The supra-sternal notch, the infra- and supra-claviculardepressions were similarly filled out and obliterated. Theneck looked like a round, roughly-cut wooden block, withoutcurves, without depressions. The upper part of the sternum, PEDIATRICS. 17 the manubrium and a part of the gladiolus were covered by alarge, bulging tumor. The tumor was soft, painless, not inthe least tender to touch, extremely elastic, yielding to theslightest pressure, but completely returning to its former shapeimmediately upon removal of such pressure. With the stethoscope one could hear bronchial respirationall over the space occupied by this unnatural bulging, e. g., at

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