File:Naked woman with Pott's disease (2).jpg

Identifier: annualanalytical06sajo (find matches)
Title: Annual and analytical cyclopedia of practical medicine;
Year: 1901 (1900s)
Authors: Sajous, Charles E. de M. (Charles Eucharist de Medicis), 1852-1929
Subjects: Dictionaries, Medical Medicine
Publisher: Philadelphia, New York (etc.) : The F. A. Davis company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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s, syphilis, and rickets, and this, attimes, may be very difficult. If-the childbe below two years of age, and haveseveral foci of disease in the spine, sev-eral other joints involved, or show evi-*dences of sypbilis elsewhere, or theparents be known to be syphilitic, itshould receive antisyphilitic treatmentin addition to ))rofection for its spine. If evidences of rickets show them-selves in large epiphyses, beaded ribs,open fonlanelles, abnormal sweatingabout the head, the spinal curvature isprobably rachitic, and a more favorableprognosis given accordingly. If the diatr-nosis is correct, ))r(iinpt iinproxement will follow changing the diet and adminis-tering phosphorus and codliver-oil. Thenecessity of support for the spine is,however, as necessary as if tuberculosiswere present; but the chances are thatit will be required for only a short time. Literature of 97-98-99.Potts disease in the nursling person-ally observed 2(i times. The seat of le-sion was always the hinihar segment of
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Fig. L—Lumbar Iotfs disease, witli bigin-ning psoas abscess, simulating lateral curva-ture of the spine in the position patient holdsher body. (R. H. Sayrc.) the vertebral column, at the first or sec-ond vertebrte; 22 out of 2G times. Thereis at first always paraplegia, followed byrigidity of the lumbar region, and thena large lumbar gibbosity, not angular.The paraplegia may be distinguishedfrom infantile palsy by the fact that itaflects both legs, is never complete, andthe reaction of degeneration is not pres-ent. From rachitis it may be difTeren- 198 SPINE, DISEASES AND INJURIES OF. TUBERCULOSIS. tiated by the freedom from pain onpressure. AVhen deformity is the first symptomit may simulate rachitic lumbar kyphosisor a transitoiy vicious attitude. Ineither of these conditions the lumbarportion of the spine remains supple, andwhen there is ankylosis in rachitis it isa lumbo-dorsal kyphosis, which is readilyrecognized. Froelich (Annales de Med.et Chir. Infant., Jan. 15, 99;. A large

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