et fever. It also
differs in its characters. In scarlet fever, the eruption consists of
innumerable minute dots or points, diffused in patches with uneven
edges of various sizes and forms; and gives to those portions of the
skin on which it appears, a diffused bright red colour. In measles, the
rash comes out in irregular semi-lunar or crescentic shaped patches,
distinctly elevated; the spots being of a deeper red in the centre
than in the circumference, and leaving intervening spaces in which the
skin retains its natural pale colour.
MATERNAL MANAGEMENT.--The chief points to which the parent's attention
must be directed, irrespective of a strict attention to the more
immediate medical treatment directed by the physician, are the
following:--
VENTILATION OF THE BED-ROOM.--Even in the mildest cases, the child must
be kept in bed from the first accession of the fever. He must not be
loaded, however, as was formerly the practice, with a quantity of
bed-clothes, in order to encourage the fever and increase the quantity
of eruption. A moderate quantity of clothing is all that is required,
adapted to the heat of skin and feelings of the patient.
The bed-room must be kept cool and well ventilated. This is of
importance in the mildest cases; but in the more severe forms of this
disease, in which the throat is much affected, the constant and free
admission of pure air will have a most decided and marked good effect
upon the symptoms. The air should be renewed, therefore, from time to
time. The linen, both of the bed and the patient, should also be
frequently changed daily,--if practicable.
However mild the symptoms of this disease may be at the commencement,
the child must always be carefully and vigilantly watched by the
parent, as inflammation of some internal organ may suddenly arise
(which is generally indicated by symptoms sufficiently obvious), and
thus change an apparently mild form of this disease into one of an
alarming character.
COLD SPONGING.--Whenever the skin is pungently hot and dry, the whole
surface of the body should be sponged with cold water, or with vinegar
and water. The heat is by this means rapidly abstracted, and the child
refreshed; and this may again and again be resorted to, as the heat
again returns. By this application alone, "the pulse has been
diminished in frequency, the thirst has abated, the tongue has become
moist, a general free per spiration has broken forth, the skin has
b
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