CROUP. 133 



day), hurried breathing, furred tongue, hot skin and thirst. At the same 

 time there is lassitude and restlessness, headache and at night delirium. 

 On the second day, usually about the root of the neck and upper part of 

 the chest, appears the eruption, which is a scarlet efflorescence consist 

 of innumerable red spots at first separated by natural skin, but soon coal- 

 escing and producing a general redness ; the skin is rendered pale by pres- 

 sure, but the redness immediately returns the rash is not elevated to the 

 touch. It is most abundant about the hips and loins, and the flexures of 

 the joints in fact where the papillae of the skin are largest. The eruption 

 reaches its maximum intensity on the third or fourth day ; by the fifth it 

 has begun to fade, and by the eighth it disappears. It goes off in an order 

 corresponding with its invasion. Miliaria are often present, perhaps more 

 commonly in adults than in children ; they in no wise affect the prognosis. 

 The sore throat is very important, especially in children. A child may die 

 from throat disease without any complaint about its throat having been 

 made. The throat should therefore always be carefully examined. The 

 tonsils will usually be found enlarged and inflamed, and often coated with 

 a thick white tenacious mucus. 



CROUP. 



This disease is characterized by difficulty of breathing ; hoarseness ; a 

 ringing cough, which, when once heard, will be distinctly remembered ; 

 the cough is followed by a " crowing inspiration." 



There is inflammatory fever; frequent and hard pulse ; thirst. 



Th- attack is most liable to come on in the night either altogether nn- 



'ted, or preceded by a cold, sore throat, or catarrh. 



TREATMENT.- Apply to the throat very cold wet cloths well covered 

 \\itli dry. Keep the child in bed. Rub with the dry hand the ba -k and 

 limbs, and continue this ontil a hot bath is made ready; renewing tin- 

 t-old cloths to the throat every fe\v moments. \Vlu-n tb is made 

 .rm and the bath at hand, place the child in tin* hot water, as hot. 

 >rnc, and nil) tin: chest and abdomen and tin- whole lody very 

 kly. Add more hot water, and k y (even to the neck ' im- 



Ha\f a dry hot idy in which to wrap and ruh dry the little 



patient. It !ii,u r h, now put on the abdominal bandage wriin^t'rom 



in water. Cover well with dry flannel a small blank n a 



aetoomuoh, Apply a^ain the c >ld \vt cloth to the 



throat. K--ep th.- f : : and. if tin- breathing is not Bi to- 



