File:Practical diagnosis- the use of symptoms in the diagnosis of disease (1899) (14578655709).jpg

Identifier: practicaldiagno00hare (find matches)
Title: Practical diagnosis: the use of symptoms in the diagnosis of disease
Year: 1899 (1890s)
Authors: Hare, H. A. (Hobart Amory), 1862-1931
Subjects: Diagnosis
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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and chapter on Skin.) In certain forms of leprosy the face often becomes leonine, orlion-like in appearance. The facies of exhausting disease about to produce death is verycharacteristic, and is seen frequently in cholera and in tuberculosisof the lungs or any state associated with profound collapse, such as THE FACE AND HEAD. 33 internal hemorrhage. It is accompanied by pallor, cold extremities,and difficult breathing. This is called the Hippocratic face,and is peculiar in the sinking-ill of the temples where the jaw-muscles are inserted; the eves are sunken, and around them aregreat hollows, so that the infra- and supra-orbital ridges becomegreatly accentuated. The eyelids are slightly parted, the corneasomewhat glazed; the nose pinched, its skin drawn; and the lowerjaw somewhat dropped. Such a facial expression, if typical, is asure forerunner of dissolution. Facial Deformity. Facial asymmetry is sometimes seen as acongenital defect, and curiously enough is often developed in chil-
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Acromegaly, showing the large face and hands. (Dercum.) dren who suffer from congenital wry-neck. This is not to be con-fused with that extraordinary affection called facial hemiatrophy,which usually begins in childhood in one spot, and slowly proceedsuntil one side of the face, sharply outlined from the other, becomes 3 34 THE MANIFESTATION OF DISEASE IN ORGANS. wasted in its skin, muscles, bones, color, and hair. Even the eyemay be sunken and shrunken. Rarely, this wasting extends over Fig. 5.

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