File:Physical diagnosis (1912) (14586624519).jpg

Identifier: physicaldiagnosi12cabo (find matches)
Title: Physical diagnosis
Year: 1912 (1910s)
Authors: Cabot, Richard C. (Richard Clarke), 1868-1939
Subjects: Diagnosis Chest Diagnosis
Publisher: New York : William Wood and Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
synovitis are the commonest diseases, but will bedescribed with other diseases of the joints (see page 456). wm <m L HV \ ■k^^i V\J Fig. 234.—Prepatellar Bursitis (Housemaids Knee (b) Housemaids knee is a bursitis of the prepatellar bursa (seeFig. 234). Fluctuation, with or without heat and tenderness, andlimited to the prepatellar space, is diagnostic. (c) Bow-legs and knock-knee are so easy of diagnosis that I shallsimply mention them here. 430 PHYSICAL DIAGNOSIS V. The Lower Leg. i. Varicose veins, with their results (eczema and ulcer), are thecommonest lesions of the lower leg. The soft, twisted, purplisheminences are easily recognized. Hardness in such a vein usuallymeans thrombosis. It should be remembered that pregnancy andpelvic tumors may produce varicose veins in the legs. 2. Chronic ulcers of the lower leg, especially those in front, areusually due to varicose veins and the resulting malnutrition of thetissues. They leave a brown scar after healing. Syphilitic ulcers
Text Appearing After Image:
Fig. 235.—Syphilitic Periostitis (Salve Shins). usually leave a white scar; they may occur in the same situation,but are more common above the knee or on the calf. 3. Syphilitic periostitis is common on the shaft of the tibia, andgives rise to pain (worse at night) with tenderness and some swelling.Later bony nodes are sometimes formed, similar to those alreadypictured on the frontal bone. In doubtful cases of syphilis in otherparts of the body we may sometimes secure convincing evidence byradiography of the tibiae. Periosteal thickening, not otherwise THE LEGS AND FEET 431 recognizable, may be thus brought to light and may help our diagnosisof a cardiac arthritis or hepatic lesion. 4. Osteomyelitis (acute septic or chronic tuberculous) often startson the head of the tibia, with intense pain, tenderness, fever, andleucocytosis (if acute or septic); there results a general septicaemia ora local sinus leading to dead bone.

Note About Images