The Diseases of Children Volume 4 Meinhard Von Pfaundler

ISBN: 9781230386225

Published: September 12th 2013

Paperback

246 pages


Description

The Diseases of Children Volume 4  by  Meinhard Von Pfaundler

The Diseases of Children Volume 4 by Meinhard Von Pfaundler
September 12th 2013 | Paperback | PDF, EPUB, FB2, DjVu, talking book, mp3, RTF | 246 pages | ISBN: 9781230386225 | 8.71 Mb

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...pneumonia and typhoidMoreThis historic book may have numerous typos and missing text.

Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...pneumonia and typhoid fever predispose to multiple neuritis. The most important poisons are alcohol, lead and arsenic. As an independent disease multiple neuritis has been observed not only sporadically but also in epidemic form as well as in association with poliomyelitis and poliencephalitis.

We will first consider the symptoms of multiple neuritis such as they appear especially in the idiopathic form, after which the somewhat aberrant course observed in postdiphtheritic, alcoholic, saturnine and arsenical neuritis will be discussed. Multiple neuritis (except after diphtheria, see below) is a very rare disease in childhood, particularly in comparison with acute inflammation of the brain and spinal cord, which are so frequent at that period of life. The disease usually begins with weakness and pain in the extremities- the legs are generally attacked first.

The child is easily fatigued, there is motor weakness, emaciation, especially in the muscles of the leg, and the deep reflexes are abolished. As the peroneal muscles are chiefly attacked by the disease in children, the gait, aside from the general weakness of the legs, becomes characteristic and is known as stepping gait. Electric irritability in the diseased muscles is usually diminished- sometimes the reactions of degeneration are present. Pain may either occur spontaneously in the legs, or may be elicited by pressure on the nerve trunks and muscles- widespread or localized hyperaesthesia, more rarely anaesthesia, is frequently present.

The skin reflexes are also, as a rule, diminished. In most cases the arms are attacked at a later period, when the paralysis of the legs is already quite marked. Again, the forearm and the hand are the parts chiefly involved- the muscles supplied by...



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