Pediatrics : the hygienic and medical treatment of children.

  • Rotch, T. M. (Thomas Morgan), 1849-1914.
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: Pediatrics : the hygienic and medical treatment of children. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    of the period of development is of the first importance when beginning to make a diagnosis of disease, especially of the heart and lungs. The large size of the liver in infants and the comparatively greater proportionate size of the heart to the luns in the middle years of childhood are striking m- FiG. 28. Fig. 29. Normal infant seven months old. stances of the truth of this statement, and should warn us that more than ordinary care should be employed in diagnosticating a pneumonia of the right lower lobe behind in infancy, or an enlarged heart in childhood. Three periods of growth are of especial significance in this connection : 1. A period corresponding to the development of the organs in the first year, especiahy in the first half of the year. 2. A period occurring during the fourth, fifth, sixth, seventh, and perhaps eighth and ninth years. 3. A period embracing the later years of childhood. Figs. 28 and 29 represent the first period. The infant, seven months old and normally developed, has, outlined in black, the principal points both in front and be- hind which will be useful to remember when making a physical examination at this age. In Fig. 28 the plain dark lines have followed the lower margin of the ribs and the outline of the ensiforni cartilage and manubrium. To the left of the lower part uf the left sternal line is a small curved line. This represents the superficial dulness of the heart. The relative or deep dulness is very slight. By very delicate percussion