216 APPEisDix. 



Symptoms — Tins disease commences witli cliil- 

 liness, dullness of the head and prostration of 

 strength, according to the violence of the attack. 

 There is sometimes nausea and vomiting, and 

 the surface soon becomes florid and hot. 



The throat is generally inflamed and the 

 same appearance extends to the tongue, which 

 is sometimes of a very deep scarlet, tinged with 

 blue. If the symptoms are increased, it is called 

 Scarlet Fever in a malignant form, the symp- 

 toms are very violent and the patient becomes 

 pale and faint, the heart palpitates, the Fever 

 continues to rise higher and higher, there is 

 great danger. 



The pulse now rises to one hundred and fif- 

 teen or twenty strokes in a minute. The pulse 

 and the eruption will give the form and charac- 

 ter of the disease. The eruption generally com- 

 mences with red patches, which spread and 

 unite till they cover the whole body. The 

 erufjition appears first on the face and neck, 

 then on the legs, and the redness is greatest 

 about the loins and bending of the joints, and 

 on the hands and ends of the fingers. There is 

 however not a perfect regularity in the erup- 



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