affects the throat.

2nd. If a child with one of these diseases becomes restless, sleepless
and feverish, be on the look-out for ear trouble.

3rd. The ear must be lanced immediately when necessary.

4th. The after treatment is very important, because the hearing of the
child depends upon it.

SWOLLEN GLANDS. ACUTE ADENITIS

Swollen glands in infancy and childhood are usually seen below and
behind the ear, less frequently in the groin. Their cause is, as a rule,
local disturbance in the mouth or throat, as decayed teeth, enlarged
tonsils, cold in the head, catarrh, adenoids, or some form of infection
of the mouth, or throat, or scalp. They occasionally accompany scarlet
fever, diphtheria, measles, and influenza. They seldom suppurate.

Symptoms.--A swelling is noticed just below the angle of the jaw; it
does not grow rapidly. There is a slight temperature and the child is
more or less irritable. If the patient is an infant, the fever may be
quite high and there may be considerable prostration. The trouble lasts
from four to eight weeks.

Treatment.--An ice-bag constantly applied is the best treatment. This
not only relieves pain, but it prevents the possibility of the gland
breaking down and suppurating. It is sometimes difficult to keep an
ice-bag on an infant, in which case cold compresses should be applied.
These are made by taking several layers of old linen or cheese cloth and
laying them on ice. They should be applied frequently to the swollen
gland. The following ointment may be applied, though the ice-bag is the
better and more certain treatment: Ichthyol 25 per cent., Adeps Lanae
one ounce. This is applied on cloth and renewed every six hours.

This ointment is black and stains the clothing. For that reason it is
advised to use oiled silk over the cloth to avoid staining the pillow or
clothing.

Children suffering from adenitis should use a spray of Dobell's solution
in the nose and throat three or four times daily. If the cause of the
swollen glands is known, treatment for its cure should be promptly
instituted.

In the event of pus forming the gland must be opened and drained.

Swollen glands in the groin of a child are caused most frequently by
some inflammatory condition of the privates, which should be discovered
and treated.

BOILS

In some delicate children and in some children who do not seem to be
delicate, repeated crops of boils may appear from time to time.

It is necessary to