compress on her head, opened the window
entirely, and left, promising to be back in an hour.
This time, on my return, I found the window open, the air better, the
child conscious in her pack. I left her a quarter of an hour longer;
then placed her in a bath of fresh water, of 70 deg., kept her there five
minutes, and put her back to bed. It being late in the evening, I
recommended changing the compress on the throat and placing another on
the stomach, and in case of renewed delirium, a cold compress on the
head, to be changed frequently.
When I called in the morning, I found the patient again in delirium, the
heat 110 deg., the pulse 140.
The bath was repeated for twenty-five minutes, when the heat went down
to 100 deg., and the pulse to 120. The patient being conscious, I had her
packed again and left her about two hours in the pack. When I returned,
I found her head almost clear; the bath of 70 deg. for ten minutes
brightened her very much. Her throat continued very troublesome, one of
the submaxillary glands was very much swollen, and broke afterwards, on
the fifth day of my treatment, discharging fetid matter. Also the
parotid gland on the same side became seriously affected, swoll
considerably and looked as if the ear might be endangered. The patient
developing heat enough, I used nothing but wet compresses, and water and
vinegar for a gargle.
The heat and delirium returning, the patient was bathed and packed twice
more the same day; the pack lasting only an hour to an hour and a
quarter. The night was pretty good; there was little delirium.
The third day, the patient was packed twice, and had four baths, and the
bowels being costive, an injection of tepid water in the evening.
The fourth day, the rash having disappeared, and the heat being down to
98, whilst the pulse continued weak and quick, and the patient still had
some delirium, I gave her a pack in the forenoon, without a bath
previous, of an hour and a half, and a short bath after it; and in the
afternoon, the patient having more delirium, the half-bath of 70 deg. was
repeated, and the patient kept in it for twenty minutes.
On the fifth day the ulcerating gland burst outside and the parotid
gland became relieved. Pack and baths as the day before. In the evening
the patient complaining of pain in the bowels, a sitz-bath of 70 deg. for
twenty minutes was administered, and an injection after it, which
relieved her.
The rest of the time, one p
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