The Diseases of Infancy and Childhood: For the Use of Students and Practitioners of Medicine

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D. Appleton, 1922 - Children - 1127 pages
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Page 8 - Up to the eleventhyear no difference need be made in the exercise of the two sexes. Companionship is a necessity. Children brought up alone are at a great disadvantage in this respect, and are not likely to get as much exercise as they require. The amount of exercise allowed delicate children should be regulated with some degree of care. It may be carried to the point of moderate muscular fatigue, but never to muscular exhaustion. The latter is particularly likely to be the case in competitive games....
Page 123 - In quite a large number of cases it exceeded twenty ounces; the average loss among healthy infants being ten ounces. As a rule the infants began to gain in weight as soon as the temperature remained at the normal point but not until then. The symptoms presented by these infants were a hot and dry skin, marked restlessness, dry mouth, and a disposition to suck vigorously anything within reach— everything indicating great thirst. With a very high temperature there was considerable prostration and...
Page 5 - It is the plain duty of the physician to enlighten parents upon this point, and insist that the infant shall be kept quiet, and that all such playing and romping as has been referred to shall, during the first year at least, be absolutely prohibited.
Page 555 - ... inferior vena cava the blood enters the right auricle, where it is mixed with the venous blood returning from the upper part of the body by the superior vena cava. A part of the blood now passes directly through the foramen ovale into the left auricle and thence to the left ventricle; the remainder passes through the tricuspid orifice into the right ventricle. As the requirements of the pulmonary circulation are not great, only a small part of the blood is sent through the pulmonary artery to...
Page 145 - Although its results are only approximate, they are in most cases sufficiently accurate for clinical purposes. The tube is filled to the zero mark with freshly drawn milk, which stands at room-temperature for twenty-four hours, when the percentage of cream is read off. The ratio of this to the fat is approximately five to three; thus 5 per cent, cream indicates 3 per cent, fat, etc. "Sugar. — The proportion of sugar is so nearly constant that it may be ignored in clinical examinations.
Page 145 - We have no simple method for determining clinically tho amount of proteids. If we regard the sugar and salts as constant, or so nearly so as not to affect the specific gravity, we may form an approximate idea of the proteids from a knowledge of the specific gravity and the percentage of fat. We may thus determine whether they are greatly in excess or very low, which, after all, is the important thing. The specific gravity will then vary directly with the proportion of proteids, and inversely with...
Page 364 - For the intestine calomel and soda may be used ; for the colon we may use, in addition, irrigation : this is advisable in all cases, as it hastens the effect of the cathartic and removes at once much irritating and offensive material. Opium should not be used until the whole intestinal tube is clean, and then cautiously.
Page 561 - Those who have attributed cyanosis wholly to apertures in the inter-auricular and inter-ventricular septa, and the consequent flow of blood from the right to the left side of the heart...
Page 508 - It must be remembered that the normal range of temperature in BronchoPneumonia is from 101 to 104.5 F. This temperature is not in Itself exhausting, and the chances of recovery are not, I think, improved by systematic efforts at reducing it so long as it remains within these limits. "Too much cannot be said in condemnation of the practice of giving drugs for reduction of temperature.
Page 573 - Percussion shows an increase in the cardiac dullness in all directions. The position of the apex and the percussion outline of the heart do not change with the posture of the patient, and the cardiac dullness is but little affected by full inspiration. A systolic murmur is often present. The...

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