File:Care and feeding of infants and children; a text-book for trained nurses (1920) (14594938889).jpg

Identifier: carefeedingofinf00rams (find matches)
Title: Care and feeding of infants and children; a text-book for trained nurses
Year: 1920 (1920s)
Authors: Ramsey, Walter Reeve, 1872- Lettice, Margaret B
Subjects:
Publisher: Philadelphia and London, J. B. Lippincott company
Contributing Library: Harold B. Lee Library
Digitizing Sponsor: Brigham Young University

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n lying down they usually have the leg flexed.There is liable to be a daily rise of temperature. The nurseshould recognize these symptoms and have the child examinedby a physician early, before any serious changes have takenplace in or about the joint. SyphilisSyphilis is a chronic infectious disease produced by an organ-ism which belongs to a higher cldss than the bacteria—theSpirochcrte pallida. 272 CARE OF INFANTS AND CHILDREN The disease may be inherited or acquired. It is readily ac-quired through an open wound in the skin or through the mucousmembranes, by contact with syphihtic secretion. The local lesionin acquired syphilis takes about a month to develop and formswhat is generally known as a chancre. After several weeks ageneral infection occurs, as evidenced by the appearance of acharacteristic rash. Children born of syphilitic parents are likely to inheritthe disease. Many syphilitic mothers miscarry repeatedly. A prematuresyphilitic infant rarely lives any length of time.
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Fig. 121.—Syphilitic eruption on the soles ui the feet o£ new-born infants. Infants born with syphilis at full term, if the disease is nottoo severe, may, if they can nurse the mother and have anti-syphilitic treatment, recover from the disease and developnormally. Snuffles.—When an infant develops snufifles within thefirst few weeks and continues to have a discharge from thenose, and if in addition there is a rash on the skin, especially onthe soles of the feet and palms of the hands, or sores about thelips and anus, syphilis should always be suspected and thephysicians attention be called to the condition (Fig. 121). Dactylitis.—Many of these cases have spindle-shaped en- THE INFFXTIOUS DISEASES 273 largements of the shafts of the bones of some of the fingers ortoes (Fig. 122). This is known as syphilitic dactyhtis. It issignificant, but not pathognomonic, of syphiHs, as it may alsooccur in tuberculosis. The Teeth.—The teeth are often badly formed in syphiliticchildren, but

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