Rachitic disturbances of Development, Frequency of, in relation to Duration of Breast-feeding, C.
The establishment of infant asylums for rachitic children is one of the most enlightened movements of the modern school.
As regards their situation, these asylums for rachitic children may be advantageously located upon the sea-coast.
The first admonitory symptoms are shown by the so-called rachitic rosary, i.
One of the forms regarded as being rachitic in origin is the keel-shaped thorax, in which the sternum is thrust forward and isolated along its median line, like the keel of a boat.
In the normal infant it is straight, but in the rachitic it exhibits a kyphotic deformity very soon.
Oppenheimer prefers the name rachitic asthma in place of laryngismus, and suggests an explanation of the symptoms from a strictly anatomical point of view.
When a baby is syphilitic and rachitic at the same time, the syphilis may last very much longer than the rachitis, which meanwhile has healed.
Though the fact has been alluded to before, I will here again state that it has always been the general impression that the amount of lime eliminated in the urine of rachitic children is excessive.
The rachiticpelvis is well known to the obstetrician for the difficulties it gives rise to during parturition.
Practically the only exception is in the rachitic form of ringbone which affects young animals.
There is no occasion for any difference in the treatment of either of the first three classes of ringbone, but in the rachitic type where treatment is given, the application of a vesicant is all that is required.
Since the affected subjects suffer involvement of several of the extremities at the same time, the theory of rachitic origin seems well supported.
In young and rachitic animals outdoor exercise and a good nutritive ration for the subject are indicated.
The hardening of the bones is delayed, the development of the skeleton in general is restricted, and deformities of the legs and spinal column are frequent, in addition to the usual rachitic affections.
They soon became rachitic from their deprivation of lime-salts and a great number perished, but those who survived were very highly prized by the Roman Emperors for their grotesque appearance.
Skutsch reports a case in which it was twice performed on a woman with a rachitic pelvis, and who the second time was pregnant with twins; the children and mother recovered.
He calls attention to the fact that the scrofulous and rachitic diatheses in childhood are sometimes accompanied by this disorder.
The rachitic dwarfs of the first class are incapable of perpetuating their species, while those of the second category have proved more than once their virility.
Harris gives an account of an operation upon a rachitic dwarf who was impregnated by a large man, a baby weighing 14 pounds and measuring 20 inches being delivered by the knife.
St. Braun gives the account of a Porro-Cesarean operation in the case of a rachitic dwarf 3 feet 10 inches tall, in which both the mother and child recovered.
The rachitic element, when present, must also be treated.
It is almost invariably bilateral, is of rachitic origin, and is frequently associated with bow-legs (Fig.
