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Instinct of self-defense like the turtle's shell or the porcupine's quills or the mephitic weasel's extravasations." But she never quarreled with Morty, and to have shared with him her opinion of his endowments would have been to deprive herself of a good deal of secret amusement. "Oh, you're all alike," she said lightly, and added: "Don't be too sure that Alexina hasn't intellect-the real thing.
Kent a speaks of a new-born infant dying of spontaneous hemorrhage from about the hips. Infantile scurvy, or Barlow's disease, has lately attracted marked attention, and is interesting for the numerous extravasations and spontaneous hemorrhages which are associated with it. A most interesting collection of specimens taken from the victims of Barlow's disease were shown in London in 1895.
The discoloration begins to fade within a few hours, and after the second or third day it disappears, without showing any of the chromatic changes which characterise a bruise. The sub-conjunctival ecchymosis, however, persists for several weeks and disappears like other extravasations. Apart from combating the shock, or dealing with concomitant injuries, no treatment is called for.
Hemophilia is rarely fatal in the first year. Of the hemorrhagic diseases of the new-born three are worthy of note. In syphilis haemorrhagica neonatorum the child may be born healthy, or just after birth there may appear extensive cutaneous extravasations with bleeding from the mucous surfaces and from the navel; the child may become deeply jaundiced.
On post-mortem examination the lesions found in these cases are: general hyperæmia of all the organs of the abdominal, thoracic, and cerebro-spinal cavities; marked leucocytosis, with destruction of red corpuscles, setting free hæmoglobin which lodges in the epithelial cells of the tubules of the kidneys; minute thrombi and extravasations throughout the tissues of the body; degeneration of the ganglion cells of the solar plexus; œdema and degeneration of the lymphoid tissue throughout the body; cloudy swelling of the liver and kidneys, and softening and enlargement of the spleen.
Postmortem examination shows extensive extravasations into the internal viscera, and also organic syphilitic lesions. Winckel's disease, or epidemic hemoglobinuria, is a very fatal affection, sometimes epidemic in lying-in institutions; it develops about the fourth day after birth. The principal symptom is hematogenous icterus with cyanosis, the urine contains blood and blood-coloring matter.
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