Book by Dr. C. G. Raue "Peculiarities of diagnostics and therapy as well as tips for treatment",
published in 1884. Dr. C. G. Raue trained along with Constantine Hering in Philadelphia. He received a doctorate in 1850, and at the same time, he practised in Trenton and Philadelphia. He also worked as a Professor of pathology and diagnosis at the Homoeopathic College of Pennsylvania. This article is about the diagnosis of diseases in the face is an excerpt from the book Dr. C. G. Raue:the human Face tells a long history and for the student it will be useful to have a closer look on its features, expression, color and temperature.
Experienced physician is reading on the face of the powers of seizure, but often also the whole of his nature. But it must be mastered in practice. There are shades of so elusive that it is rather difficult adequately to describe, but which stand out over the totality of the case.
Characteristic and special features
Fragile thin fine physique, with long lush eyelashes and sparkling eyes often indicates tuberculosisi diathesis.Wrinkled face
of course for the elderly, but in children it serves as a pointer to imperfect digestion, and is often found due to debilitating diarrhoea and atrophy.Thickened the base of the nose and upper lip
is the most striking symptom of scrofula in children. Scrofula is implied under the form of tuberculosis that affects the cervical lymph nodes.Anemic pallor is very important:
it has a waxy hue chlorosis (i.e. iron deficiency anemia) and pasty (pasty, puffy) the nature of the kidney disease.
Anaemia, accompanied by swelling of the eyelids and around the eyes, most commonly found with albuminuria.Sunken face with sunken features
characterizes the fatigue, and can also occur due to excessive stress, loss of sleep, malnutrition, profuse diarrhoea or problems with the digestive tract. If such a feature of the face develops suddenly during pregnancy is a symptom, a warning about the threat of abortion.
If you see the settled features in the prodromal stage of the disease, without previous debilitating circumstances that indicate the approach of a strong disease. If it occurs suddenly in the course of the disease, without a shiver or spasm, it could be called, it is a sign of extraordinary exhaustion, collapse, metastasis, of dying, or apoplexy of the nerves.Orbital-zygomatic line, or a line of ophthalmic-zygomatico is a line or furrow, which goes from the inner corner of the eyes to the zygomatic bone, where it ends.
It can occur in children. When they cry, but more constant and noticeable it is contoured in children with brain lesions. Her appearance at ordinary Qatar is evidence of the impending whooping cough.Hippocratic face has the following features:
the skin on your forehead is tense, dry or covered with cold sweat, temporal regions settled (exhausted), eyes dull, without luster, potuplen eyes, the nose and the collapsed nose is very pointed, the cheek bones stick out much and konturiruyutsya, the skin wrinkled, the ears while protruding to the side and cold, the lips pale, deathly pale, the lower jaw hanging down and your mouth open. This is always a sign of the extreme decadence of the life force and is found in cholera, in a moribund state, and during a struggle with death.Nasal line
is a line or furrow that rushes to the nose, and originates from the corner of his mouth and has a configuration more or less resembling a semicircle. If this line deepens in the child, it is a sign of abdominal pathology, especially inflammatory bowel disease, and rachitis, scrofula and atrophy. In adults it is regarded as a symptom of albuminuria, ulcers or stomach cancer and liver degeneration.Chin sulcus
is the crease, which originates at the corner of the mouth should be down and to the side of the chin. Where it ends. This line is clearly visualized in children as a symptom of inflammatory diseases of the larynx and lungs. Very expressive she was discovered by adult persons suffering from ulceration of the larynx and bronchial lesions, which were also present difficulty in breathing and many mucosal secretions.Sardonic smile
is a special spazmoliticheskoe facial expression which portrays a kind of smile detected by the irritation and inflammation of the brain, inflammation of the pericardium and the diaphragm, irritation of the digestive tract, in case of atypical course of menstruation, and even after the mental overstimulation, fear, and depression of spirit.In a healthy condition expression displays a state of consciousness. And during his illness it has a direct relationship with the state of the nervous system.Rigid. Frozen, dazed, alarmed, but sometimes also smirking frequently seen in brain lesions. And when typhoid condition.
Anxious, sad, restless face is detected in the lung and heart.
Gloomy, dismal face, with elongated features, apathetic expression is detected in diseases of the stomach.
The usual redness of the face, displays a tendency to gout, hemorrhoids and evidence frequent use of alcoholic beverages.
Redness having a volatile, quickly changing the localization character is found in children in the period of teething, in women before menstruation or after conception and is detected in inflammation of the lungs.
Bright eye-catching the redness occurs in nervous diseases, hysteria and tendency to bleeding.
Bluish redness is detected at a stroke, congestive, suffocating conditions.
The redness that appears and leaves in the form of dots was often observed by me in diseases of the brain in young children and pneumonia.
Unilateral redness, accompanied by paleness and coldness of the second party, when encephalitis (according to Schonlein) corresponds to the formation of purulent infiltration on the side, which corresponds to the side redness of the face. It is also detected in diseases of the stomach, heart and lungs, as well as in children during the period of teething.
Clearly limited local redness in the form of tides correspond to tuberculosis.
Redness of the cheeks, with a white border around the wings of the nose and mouth are often found in various fevers, especially scarlet fever and is also a strong symptom of the disease.Sudden paleness, especially around the mouth, found in children with abdominal cramps.
Expressive paleness, alternating with redness, is found in inflammation of the lungs and brain, also during teething.
Pallor, which occurs after a slight limping of one leg, combined with expressive lethargy and lack of energy is a sign of long lingering disease of the hip.In women pallor
is a sign of delayed or suppressed menstruation or chlorosis.
The sudden paleness during pregnancy indicates the risk of bleeding, miscarriage or death of the fetus.
Sudden paleness around the nose during a scarlet fever is a bad sign, indicating brain damage painful process. During the period of exfoliation is is a forerunner of dropsy.Sudden paleness after a fall indicates concussion of the brain.
Pale lips are characteristic of chlorosis.A bluish tinge
of the face is detected when organic lesions of the heart, especially in cases of dilatatie ventricles and disruption of the valves, which impairs oxygenation of blood. In the highest degree this is manifested by cyanosis, in which due to organic lesions of the heart there is a mixing of arterial and venous blood. In neonates, if such condition continues for a long time, it is a sign of a malformation. If in a short time this state is held – this may be the result of strong labor pains, facial presentation or as a result of umbilical cord entanglement neck of the child.
Bluish-purple, grayish, leaden hue of face points to deeply entrenched rooted organic pathology, skirr (fibrotic cancer), gangrene.Yellowish tint of the face
is found mostly in diseases of the liver. Icteric color varies from pale orange to deep greenish yellow. Yellowish tint of the skin of newborns is not able to diagnose liver damage. It could just be residual effects of the saturation of blood bilirubin or bilirubin is derived, it resembles the effect of a bruise; this is not observed scleral icterus.
There is a yellowness of the eye, which is malignant in nature and differs from the usual characteristic of a pearl in the eyes. It is associated with the cancer diathesis.
Brown dots or spots in women are often a symptom of pregnancy or disturbances of the menstrual cycle. They are also found in hepatic Galovich.
Uneven brown dots, rising above the surface of the skin and covered with small pustules, which, from time to time allocate a bloody fluid, are in children a sign of congenital syphilis.
Telangiectasia (small blood vessels) on the face, especially on the upper part of the cheeks and lower eyelids is almost always associated with any stagnation or obstruction, often in the chest, but more often in the abdominal cavity, and decrease the content of chlorides in the urine.
Telangiectasia, if they are located on the right side of the face indicates obstruction in one of the organs of the right half of the body, and Vice versa.
Bright red telangiectasia indicate blood stagnation, while the purple tint indicates venous obstruction in thoracic or abdominal cavity of the corresponding side.
Small varicose veins on the left side of the nose or lips or head of the penis indicates venous congestion in the heart or the kidneys.The temperature of the face:
Hot face is detected at congestio of the head, during fevers, in inflammatory conditions in rhinitis, and other complaints.
Coldness of the face is detected when the chills, cramps, exhaustion, and diseases of the stomach, in syncope. The deadly cold found in cholera, also in strong hysterical paroxysms.
Inflammation of the lungs, coldness of the face indicates the beginning of a purulent process.
The sudden coldness of the face, arising from scarlet fever is a harbinger of imminent death. published