1 KVERS. 



They attain their greatest intensity on the fourth day from their invasion, 

 an 1 by the seventh day they fade away with a slight desquamation of the 

 cuticle. As a rule the fever does not abate on the appearance of th e 

 eruption. 



The contagion of measles is active during the prodromic stage. Red 

 bs arc visible on the velum palati four, five, or six days before the 

 eruption appears on the skin. 



OCCASIONAL SYMPTOMS. There may be no prodromata whatever, or 

 th" attack may be ushered in with convulsions (especially in children), or 

 there may be delirium, or there may be a great amount of fever, or there 

 may be and often is sore throat ; more rarely severe headache, and sen 

 times absence of the coryza. 



The eruption may be scanty, or most abundant and confluent, but the 



quantity of the eruption per se does not affect the gravity of the attack ; 



tip- colour of the eruption may be dark, constituting so called " black 



mea-des"; there maybe petechue, which do not fade on pressure and 



uble purpura ; these do not per se affect the prognosis. Miliary vesi- 



are often present, and when abundant the amount of desquamation 



will be greater. 



AVERAGE MORTALITY. One in fifteen. 



PROGNOSIS. If uncomplicated, favourable. Unfavourable signs are 

 i^reat dyspnoea, sudden vanishing of the rash, together with 

 an access of delirium ; brown dry tongue, with special severity of some 

 or three symptoms ; petechiae, with a typhoid form of fever. Capil- 

 lary bronchi tj and pneumonia are the most frequent proximate causes of 

 death. 



TREATMKNT. The child must be kept in bed in a large, well-ventilated 



MI, free from drafts a point of vital importance, looking to the fre- 



v aii'l danger of chest complications. The diet must be low. Tepid 



drinks may be l'i \ en. It is very important in measles, as in all in- 



naove all discharge and soiled linen instantly ; th< 



should IK> passi-d into vessels containing chloride of lime, carbolic 



acid, or Condy's fluid ; this with ventilation will <j<> far to prevent ii 



'lit. i. is no objection, if it be grateful to the patient, to have the 

 i with warm water; and it* itching be much ounpluin- 

 f, inunction with unsalted lard is useful. Cough is often the : 

 troublesome system which requires special treatment. A mixture - 

 taininj- and ipecacuanha wine with a few drops of nepen- 



r Tinet. < 'amph. Co., will usually quiet this. If the fever runs hi^h. 

 ; min.-ral acid^ sweetened and largely diluted wi y grate- 



