The mucous membrane becomes congested and swollen. There is a constant mucous or mucopurulent discharge from the nose. The air passages may be partially or completely closed. If the child is old enough the nose may be easily freed from this discharge by blowing. If the child is not old enough to do this great inconvenience and discomfort will be experienced. The upper lip may become irritated, swollen and permanently enlarged and prominent from the constant blowing and wiping the nose. The excretion produces a constant irritation. There is a marked tendency on the part of the child to constantly pick at the nose; this tends to increase the irritation both of the nose and the upper lip. Usually there are adenoid growths, which will produce mouth breathing and may interfere with the function of hearing. A very marked characteristic is the inclination for the child to continually snuffle. If the condition is allowed to remain for a long time without adjustments, ulcerations may occur on the mucous membrane; the discharge from this will be very offensive. In the atrophic form ozena is very common. Ozena is a very fetid discharge from the nasal cavity associated with ulcerations which may involve the bones of the nose. Equation The equation is the same as the acute form with the exception that the N.C.R. condition becomes more prominent. Family Same as the acute form except that the degenerations family takes precedence over the other families involved. Major Adjustment The adjustment is the acute condition—M.C.P. and K.P. A greater length of time will be required, however, than in the acute stage, but the prognosis is always good. In caring for a child in this condition the parents and attendants should exercise care that there is no unnecessary irritation of the nose and local parts. The nose should be kept clean and as soft a handkerchief as possible used in wiping the nose. During the process of retracing discharge from the nose will pass through practically the same stages as during the progress from the acute stage. The process is just reversed. The scabs that form in the nose now begin to soften and the discharge continues to change until it becomes as it was in the beginning of the acute stage in a thin watery discharge. Finally the discharge ceases entirely and the child is well. EPISTAXIS Nose bleed does not often occur in infants but is quite common during childhood. It is the result of interference with the transmission of motor mental impulses to the muscular walls of the capillaries of the nose. Epistaxis may result from a fall or blow on the nose. It occurs as an early symptom of different incoördinations such as typhoid fever and measles; as a matter of fact, it occurs in the hemorrhagic form of all eruptive fevers, in some cases of diphtheria, and in dis-eases of the heart and blood vessels.