Identifier: physicaldiagnosi1905cabo (find matches)
Title: Physical diagnosis
Year: 1905 (1900s)
Authors: Cabot, Richard C. (Richard Clarke), 1868-1939
Subjects: Diagnosis Chest Diagnosis
Publisher: New York : William Wood and Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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FiG. 4.—Acromegalia. here to the hairs and are familiarly known as nits.or itching dermatitis often results. An eczema II. The Forehead. Scars, eruptions, and bony nodes are important.(a) Scars may be due to trauma or to old syphilitic periostitis.The epileptic often cuts his forehead in falling. THE HEAD AND FACE. 9 (/>) Eruptions often seen on the forehead are those of acne,syphilis, and smallpox. These may resemble each other closely,and are to be distinguished by the history, the presence of lesions
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Fig. 5.—Typical Face in Acromegaly. on other parts of the body, and the concomitant signs (fever, pros-tration, etc.). (c) Nodes may be the result of many bumps in childhood or maybe caused by a syphilitic periostitis (see Fig. 3). The history mustdecide. III. The Face as a Whole. Very characteristic even at a glance is the face of (a) acrome-galia. A strong family likeness seems to pervade all well-marked 10 PHYSICAL DIAGNOSIS. cases (see Figs. 4 and 5). The huge, bony whopper jaw is themost striking item, then the prominent cheek bones, and the ridgeabove the eyes. The nose and chin are very large. (b) Myxcedema (see Fig. 6) is not so characteristic and mighteasily be mistaken for nephritis or normal stupidity with obesity.The presence of dry skin, fallinghair, mental dulness, and subnormaltemperature, all supervening simul-taneously within a few weeks or

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