File:Diseases of infancy and childhood (1914) (14749053386).jpg

Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
temporal bone. There is a marked frontal protuberance. The child had nine
teeth when twenty-two months old. As previously stated the first tooth appeared
one month after the thyroid treatment was commenced, or when the child was
sixteen months old. The body is well developed—fat. There is no evidence of
rachitis. The chest and spine show evidences of good nutrition. The length of the
body was 50¹/2 centimeters, or about 20 inches. The secretions of the body were
very torpid. Constipation of a very obstinate form was encountered. There were
several fatty growths in the sterno-cleido-mastoid muscle.

————
¹ Three cases of cretinism were presented by me at the Section of Pediatrics
of the New York Academy of Medicine, February 11, 1904.

CRETINISM. 721

SPROADIC CRETINISM.
Fig. 234.—Child. Age 2
years, 2 months. (Origi-
nal.)
Fig. 235.—Same child. Seven
months after continued thy-
roid treatment. (Original.)
Fig. 236.—Same child. Age
3 years, 9 months. One
year and seven months
after continued thyroid
treatment. (Original.)
Text Appearing After Image:
SPORADIC CRETINISM
Fig. 234.
Fig. 235. • Fig. 236
46
722 DISEASES OF THE DUCTLESS GLANDS.

The child had a violent fear of water, so much so that the mother had difficulty
in bathing her. The hair is very thick and straw-like. The thyroid gland cannot
be felt.
The pulse was 90 and of a full bounding character. There was a subnormal
temperature which was never higher than 98° F. in the rectum in the evening.
Respiration was 16 while quiet and 24 while crying. The urine showed traces of
indican, evidently due to the constipation. No albumin or sugar was found. Micro-
scopically no uric acid crystals; no casts, and no bacteria were found.
When the treatment was first commenced, 1 grain of thyroid was given three
times a day. This dose was rapidly increased so that after the first week the child
took 2^/2 grains three times a day. The heart was carefully watched and n
odisturbance noted from the quantity of thyroid given. In addition, 10 drops of
pure codliver-oil was given three times a day. Cereals, milk, chicken soup,

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