e head
cool,--and the abdomen not projecting too far,--the breathing regular,
and without effort.
When awake, the infant will be cheerful and sprightly, and, loving to
be played with, will often break out into its merry, happy, laugh;
whilst, on the other hand, when asleep, it will appear calm, every
feature composed, its countenance displaying an expression of
happiness, and frequently, perhaps, lit up with a smile.
Sect. II. SIGNS OF DISEASE.
Just in proportion as the above appearances are present and entire,
health may be said to exist; and just in proportion to their partial or
total absence disease will have usurped its place.
We will, however, for the sake of clearness examine the signs of
disease as they are manifested separately by the countenance,--the
gestures,--in sleep,--in the stools,--and by the breathing and cough.
OF THE COUNTENANCE.
In health the countenance of a thild is expressive of serenity in mind
and body; but if the child be unwell, this expression will be changed,
and in a manner which, to a certain extent, will indicate what part of
the system is at fault.
The brows will be contracted, if there is pain, and its seat is in the
head. This is frequently the very first outward sign of any thing being
wrong, and will occur at the very onset of disease; if therefore
remarked at an early period, and proper remedies used, its notice may
prevent one of the most fearful of infantile complaints--"Water in the
Head."
If this sign is passed by unheeded, and the above disease be
threatened, soon the eyes will become fixed and staring,--the head hot,
and moved uneasily from side to side upon the pillow, or lie heavily
upon the nurse's arm,--the child will start in its sleep, grinding its
teeth, and awake alarmed and screaming,--its face will be flushed,
particularly the cheeks (as if rouged),--its hands hot,--but feet cold,
its bowels obstinately costive, or its motions scanty, dark-coloured,
and foul.
If the lips are drawn apart, so as to show the teeth or gums, the seat
of the pain is in the belly. This sign, however, will only be present
during the actual existence of suffering; if, therefore, there be any
doubt whether it exist, press upon the stomach, and watch the eifect on
the expression of the countenance.
If the pain arise simply from irritation of the bowels excited from
indigestion, it will be temporary, and the sign will go and come just
as the spasm may occ
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