File:A textbook of obstetrics (1899) (14797604013).jpg

Identifier: textbt00hirs (find matches)
Title: A textbook of obstetrics
Year: 1899 (1890s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia : Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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en, too, is much enlarged in syphilis. This organ, whichin a normal fetus at term should be in weight ., /,,, part ^\the whole body, often much exceeds its due proportion. Uponthese three signs,—the yellow line between epiphysis anddiaphysis, the increased weight of liver, and increased weight 1 Virchows Archiv, Bd. i, S. 305. 2 Zeit. f. Geburtsh., Bd. i. 3 Ibid,, Bd. k. 1 I 0 discover Wegners sign, an in< ision should be made over the trochanter, as though for exi ision of the head ! the femur. The end of the thigh bone is turned er cutting its ligaments, and a median section of the epiphysis and diaphysis of the 1 e is made with a strong cartilage-knife. I omer, he. cit.■ Zweifel thus describes the progress of the disease : There is formed, in a certain region of the cartilage, granulation tissue insufficiently supplied with blood-and ill nourished. There results necrosis f tins tissue, with an attempt atexfoliation and accompanying suppuration. PLATL 4- ^ ■
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Syphilis of the fetus. THE DISEASES 0I> THE FETUS. I 55 of spleen,—all easily discovered, the diagnosis of syphilis mayrest with reasonable certainty. If one would push the investiga-tion further, perhaps the next surest indication of syphilis mightbe found in the lungs.1 These organs manifest a syphilitic infection in three ways :By an interstitial overgrowth ; by the presence of gummata ; bya peculiar catarrhal inflammation, resulting in what is called whitepneumonia. The interstitial overgrowth is the most common.The connective-tissue overgrowth about the blood-vessels and thealveoli gives the lungs greater weight and more solidity than theyshould possess ; their color is often dark red ; if the infant hasbreathed, as it commonly does—although imperfectly—for a shorttime after birth, the lungs will not float buoyantly, although theydo not usually sink outright. Microscopically, it may be seen thatthe alveoli are much encroached upon by the interstitial thick-ening, and tha

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