File:Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood (1911) (14758782926).jpg

Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 150.—Cystic Goiter. Within the last two years patient(13 years old) has been gradually becoming feeble-minded.(Sheffield.) cysticum coli congenitum or other cysts of the neck, and in ^.^ 0 J Differentia- older children for exophthalmic goiter. Cysts of the neck are tion from 1 ° J cysts in the characterized by marked fluctuation and rapid development; neck-and usually arise from the submaxillary region. Exophthalmic Goiter (Basedows or Gravess Disease) is characterized, in addition to the goiter, by tachycardia, muscular „, , & - - Tacnycarda tremor, exophthalmos, general ill health, vasomotor disturbances tremor and ( flushes of the skin alternating with pallor), and pigmentation of th:ilmos-the skin. 188 DISEASES OF BLOOD AND DUCTLESS GLANDS. CRETINISM (Endemic or Goitrous Cretinism, Sporadic Cretinism or Myxidiocy). Arrest of Cretinism is due to partial or total arrest of the secretion of secretion, the thyroid gland, in consequence of congenital or acquired
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Fig. 151.—Congenital Cretinism. Child 6 months old; showedtypical symptoms soon after birth. (Sheffield.) Sporadi (extirpation) ahsence, atrophy (from strumitis, syphilis, tuber-culosis, or neoplasms), or goitrous degeneration of the gland. Endemic cretinism occurs in children living in countries wheregoiter is endemic, or in descendants of people coming from theseregions, and is very frequently associated with goiter. On theother hand, sporadic cretinism is ohserved in children comingfrom other parts of the world. The term myxidiocy is usually DISEASES OF THE THYROID GLAND. 489 reserved for the pronounced forms of cretinism which are asso-ciated with marked pseudolipomatosis. The great majority of cases of cretinism in children are ofantenatal origin, although the pathognomonic manifestations withfew exceptions (see Fig. 151) do not appear until the child isover one year of age. At about this time it is usually noticed Usuallycongenital.

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