Identifier: medicaldiagnosi00gree (find matches)
Title: Medical diagnosis for the student and practitioner
Year: 1922 (1920s)
Authors: Greene, Charles Lyman, 1862-
Subjects: Diagnosis
Publisher: Philadelphia, Blakiston
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ea, and variousgrowths such as the malignant epulis also occur. Around the base of the gums as well as in the more readily visible portionsof the buccal mucous membrane may be seen the sharply defined, flattened,moist, grayish, mucous patches in cases of syphilis. THE TEETH.—As regards the period of eruption of the first and secondsets of teeth, a wide margin must be allowed in both directions, an unusuallyearly or distinctly delayed appearance being of no significance. A greatly delayed dentition is usually indicative ofmalnutrition and oftenassociated with distinct developmental defects. The disturbances of teething, while doubtless greatly exaggeratedand usually negligible in well-nourished, breast-fed children, are neverthelessimportant and are accountable, directly or indirectly, for many upsets ofinfancy. Any doubting physician would be convinced of this fact if he him-self should for a time suffer from similar inflammations from whatever cause. THE OUTWARD SIGNS OF DISEASE 39
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.Ttffliffinr »*II»»«i* Fig. io.—First dentition. Illus-trating the sequence of eruption ofthe temporary teeth. A, sixth toninth month; B, eighth to twelfthmonth; C, twelfth to fifteenthmonth; D, sixteenth to twenty-fourth month; E, twenty-fourthmonth to end of third year. On the other hand, we should not adoptdentition as a blanket term to cover obscureailments lest we overlook more concrete andA serious conditions.*! As in the case of the finger-nails, transversegrooves or furrows on the teeth indicate pastsevere illness; dentated cutting margins arecommon in malnutrition; and pitted teethmay be due to past stomatitis.B Early decay is common in pregnancy,phosphorus poisoning, rickets, diabetes andother forms of severe malnutrition and theimportance of good teeth and especially, soundroots, in connection with chronic dyspepsiaand many other conditions is too little ap-C predated. Many obstinate and persistentgastric ailments are promptly cured by properattention to the remaining

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