The student's guide to diseases of children / by James Frederic Goodhart.

  • Goodhart, James Frederic, Sir, 1845-1916.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to diseases of children / by James Frederic Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    590/668 (page 574)
    The urine is said to contain too little urea and uric acid, and an increase of the earthy phosphates; though this statement has been called in question by Rehn and Seemann. Complications.—These are chiefly two—bronchitis with atelectasis and diarrhoea. The association of rickets with scurvy is important, but not common. The occurrence of bronchitis is readily exjslained by the softened ribs and the distorted chest; these en- tail atelectasis and emphysema, which in turn entail bronchitis ; the disease in the tubes, by still more jire- venting the ingress and egress of air, increases the amount of collapse, and the increasing collapse tends to increase the catarrh, and the collection of a muco- purulent secretion in the tubes. The causes of the diarrhoea can be less precisely stated; but in an un- healthy child, with unhealthy secretions, congested viscera, diseased lymphatic glands, and severe disease of the bones—which are, at tlfls time of life, most important elaborating organs for maintaming the blood at a normal standard—the existence of diarrhoea is at any rate no cause for surprise. Scorbutic or acute rickets has been alluded to towards the end of the last chapter, p. 555. Morbid Anatomy.—If we take the epiphysial end of a moderately rickety bone—of the rib, for example —and make a section through the length of it and its adjacent cartilage, comparatively healthy bone is seen on the one side, healthy cartilage on the other, and between the two a layer, more or less tliick according to the severity of the disease, of blueish or pearl-grey translucent cartilage. The line of this towards the cartilage is regular, but sti'eaked with lai’ge vascular lines; towards the bone it is irregular, and some- times so much so as to intersect rhe bone immediately adjacent, and to appear as islands of cartilage, Avith vascular and calcareous points scattered about. On further examination, the adjacent layer of bone is seen to be paler or yelloAver than normal, and more rari-