300 SCARLATINA. 



the upper air-passages or from pneumonic complications, we 

 may apprehend serious results. 



Of the local symptoms none probably change so much or 

 indicate so truly the exacerbation or decline of the pyrexia, 

 and are thus helpful to us in forming a prognosis, as those 

 connected with the visible mucous membranes, particularly 

 the nasal. The spots or petechia? increase in number, depth 

 of colour, and disposition to coalesce with increase of the 

 fever ; on defervescence, they are less bright in colour and fewer 

 in ,number, seeming to contract rather than extend by dif- 

 fusion. 



Treatment. — In the treatment of cases exhibiting symptoms 

 indicative of this condition we have termed scarlatina, the 

 marked feature of debility would seem to point to nourishing- 

 diet and pure stimulation as most likely to be productive of 

 beneficial results ; judged, however, by the results of actual 

 practice, such is rather doubtful. The milder cases as a rule 

 are best treated by what we may term good stable manage- 

 ment. The animal should have a comfortable loose box with 

 a fair amount of light, while the food allowed ought to be 

 easy of digestion and of such a nature as will ensure a regular 

 condition of the bowels ; water should be allowed in full 

 quantity, in which has been dissolved sulphite or hyposulphite 

 of soda. 



Where the blood-markings on the membranes are consider- 

 able, and the skin-rash and transudation are extensive, to- 

 gether with much pyrexia, but where the difficulty in swallow- 

 ing is not a marked feature, good will follow the exhibition 

 twice daily of solution of acetate of ammonia with a little 

 sweet spirits of nitre and half a drachm of camphor, given in a 

 pint of linseed-tea or gruel. When the throat-symptoms are 

 troublesome and prevent the exhibition of medicines in either 

 solid or liquid form, what we wish to give can only be satisfac- 

 torily administered in the form of electuary. The urgent 

 anginal symptoms may further be relieved by employing inha- 

 lations of the vapour of hot water, which may with advantage 

 in many instances be medicated by dropping over the material 

 employed in the fumigation such agents as oil of turpentine, 

 tincture of opium, or of iodine, or carbolic acid. Externally 

 the throat and swollen glands should be fomented with warm 



