A text-book on hygiene and pediatrics from a chiropractic standpointCraven, J. H. (John Henry)
Science
A text-book on hygiene and pediatrics from a chiropractic standpoint
Craven, J. H. (John Henry)
Children -- Diseases; Chiropractic; Sanitation
Great care must of necessity be exercised in taking the analysis
of the baby and of the small child. A very careful history should
be taken. This, of course, must be obtained from the parents or
nurse. This history should include such points as whether birth
was instrumental or natural, whether it was premature or full term,
whether there were any peculiarities of respiration at birth, whether
there have been any convulsions and what sickness, if any, the child
has suffered with. Inquiry should be made relative to the condition
of the bowels and kidneys, how the child sleeps, and if there is a
tendency to cry out during sleep. If the child refuses to nurse or
nurses with difficulty it may indicate an incoördination of the mouth
or the throat.
Objective Symptoms
In view of the fact that the child can give no aid in the way of
subjective symptoms, it is necessary for the chiropractor to make
most careful observations and substitute, as far as possible, the
objective symptoms for the subjective ones. About the first thing
we see when we begin the analysis is the baby’s face. It may reveal
valuable information. A very careful study should be made of the
facial expression and the condition of the eyes. In the face we take
into consideration the color. We should look for pallor, cyanosis and
jaundice; we notice whether there is perspiration, whether the face
is cold and clammy or warm and moist; also we observe the expression
as to the muscular condition, since there may be muscular spasms
which will produce grimace. This is either the result of pain some
place in the body or an abnormal action of the facial muscles. There
may be a pinched expression or a look of fear or anxiety. In some
severe cases the face will be expressionless, while in others it may
be that of an adult.
The condition of the eyes is important. They may have a dull
expressionless look. The lids may droop and the eyeballs be sunken.
In cerebral incoördinations there may be strabismus, or the eyeballs
may be rolled upward and inward. These symptoms are significant and
should all be very carefully noted, for, as has been stated, there
will be no chance to profit by subjective symptoms.
After a careful observation of the face and facial expression has
been made, the child should be undressed and placed in a convenient
position for further observation. Before the clothing is removed the
room must be heated to a proper temperature so the infant will not
take cold or be exposed to an atmosphere that will be distressing.
A temperature suitable for the bath will be satisfactory. The child
should be placed on his back and every movement of the body observed.
Such movements as the flexing of the thighs on the abdomen, as in
abdominal pain, may lead the chiropractor to a conclusion on the zone
involved.
Public-domain text, read in full here on John Shaqi.
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