File:Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood (1911) (14758762346).jpg

Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ow in coming (from three to nine months), but in uncom-plicated cases well worth waiting for. Complications arisingshould be treated symptomatically. Thus cold abscesses call fortreatment, free incisions and evacuation (may be enhanced by cupping-glass) of the necrosed tissue; large exudations should be treatedby aspiration and injection of iodoform emulsion, and the generalhealth should be improved by outdoor fresh air, nutritious food,tonics (iron and cod-liver oil), massage and hydrotherapy. Fordifferential diagnosis, see Arthritis, page 419. SPINA VENTOSA. 393 4. SPINA VENTOSA (Tuberculosis of the Metacarpals and Phalanges. Tuberculous Dactylitis). This disease most frequently affects the first phalanx of the usuallyindex finger, but may occasionally be found simultaneously inseveral phalanges or metacarpals of the same hand. The osseoustissue is gradually destroyed, and, while this is going on, here andthere new bone tissue is gradually formed under the periosteum. first phalanx.
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Fig. 121.—Spina Ventosa. (Sheffield.) In consequence of the latter process, the finger becomes fusiform,as if the bone had been blown up (see Fig. 121). As the inflam-matory process is very slow and painless, it, as a rule, takes sev-eral months before the characteristic appearance is developed.At a later stage of the disease, there is circumscribed redness, fluc-tuation, impairment of function of the tendons and spontaneousrupture of the suppurating focus with very tedious discharge ofthe contents. Tuberculous dactylitis may be mistaken for a congenital oracquired syphilitic lesion. The history of syphilis, the presenceof other syphilitic symptoms, the greater tendency of syphiliticdactylitis to be multiple and symmetrical, and the ready response Fusiformswelling. Differentia-tion fromsyphilis. Conservativesurgery. ;;(.I4 COMMUNICABLE DISEASES. to antisyphilitic treatment usually suffice to clear up the diag-nosis. A positive von Pirquet tuberculin test and the coincidenceof tuberc

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