Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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bs signs of increased electrical excitability of nerve and muscle. Muscular Contractures.—These come on without any premoni-tory symptoms. The infant or child may have been in good health,or may have been suffering from intestinal disturbance. There aretwo distinct forms of contracture in infants, in one of which the Fig. 182. / \ q^m & ^-3^4,, Tetany. Extension of the fingers, flexion of the arms, flexion of the toes. Fades.Child, eighteen months of age. hands and arms take the position assumed in driving horses (PlateXXXVI.). The arms are pressed against the thorax, the forearmsflexed on the arms, and the fingers tightly flexed over the thumb intothe palm of the hand. The hand itself is strongly flexed on theforearm. The lower extremities may be adducted toward the me-dian line, the thighs flexed on the abdomen, and the legs on thethighs. The feet are as a rule extended in the equinus position andthe toes overflexed on the plantar aspect of the foot, the whole foot PLATE XXXVI
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Tetany. Infant nine months of age. Shows the drivingposition of the fingers, hands, and arms, overextension ofthe feet and flexion of the toes. TETANY. 8 1 1 being slightly curved inward. After the contractures have lastedsome time, there is oedema of the tissues over the dorsum of the foot.In the second set of eases the fingers are overextended, as shown inFig. 182. The arms and lower extremities also take the positionof flexion. These contractures are painful; the patient cries as ifin great pain when an attempt is made to straighten the fingers orextremities. There may be a temperature of two or three degrees.The contractures may diminish, and there may be an interval in whichthe only symptoms are such as may be attributed to the increasedmechanical and electrical irritability of the peripheral nerves. Theremay also be eclampsia. The eclamptic attacks are very dangerous.I have lost 2 cases in such seizures. Other muscles, such as theabdominal or thoracic, may be the seat of contrac

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