File:Pediatrics. (1900) (14765498595).jpg

Identifier: pediatrics9190unse (find matches)
Title: Pediatrics.
Year: 1900 (1900s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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ed, sometimes green,sometimes white and then again natural. The childpassed very little water. The little which I secured for exam-ination was alkaline in reaction, pale in color, 1015 in sp. gr.,containing but a trace of albumin, very little urates, no sugarand no casts. Inquiry and observation satisfied me that thechild never suffered from morning nausea; never had hemor-rhages from the stomach or bowels; was never jaundiced andwas free from hemorrhoids. Physical examination failed todisclose any organic lesion of the heart, lungs or pleura. The * Patient presented before the N. Y. County Medical Association, December, 1809. PEDIATRICS. 187 shape of the head and chest was normal, and the osseoussystem was equally unaffected. The most conspicuous featureabout the baby was its distended belly. The distention wasenormous. The skin over the abdomen was stretched to theutmost, so that it was glossy as well as resistant to pressure orpitting. The circumference of the abdomen over the most
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acutely bulging parts measured 26 inches. Owing to this greatascites, the liver and spleen could not be defined either bypercussion or palpation. The ascites interfered with walking,the child continually squatting—a position which appeared toafford it great comfort. Excepting the peritoneal, no otherserous cavity contained fluid. There was no edema of theupper or lower limbs and none of the face. i88 PEDIATRICS. Concomitant with the ascites were the distinct andenlarged superficial veins over the epigastric, region andaround the protruding navel, constituting in the latter placethe so-called caput Medusae. The diagnosis of cirrhosis of the liver was made by meansof exclusion. Syphilis was excluded by the absence of aspecific history in the parents, and of early or later lesions—cutaneous, dental or osseous—in the child. Tubercular peritonitis would cause pain on pressure of theabdomen, and the ascites, if it at all existed, would probably besacculated. Besides, lesions of tuberc

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