Epistaxis is often considered of little consequence, but it may be a very serious condition and even result in death. It is especially serious when occurring in infants. Equation The equation for epistaxis is M. There is a relaxation of the muscular walls of the capillaries resulting in the hemorrhage. Family Epistaxis is in the prolapsis family due to the relaxation of the muscular fibers in the walls of the capillaries. Adjustment The adjustment for epistaxis is M.C.P., and in most cases this is fourth cervical. In some cases the results come instantly. The prognosis is always good when the proper adjustment is given. INCOÖRDINATIONS OF THE LARYNX CROUP Croup is an inflammation of the larynx characterized by a more or less severe spasm of the laryngeal muscles. This spasmodic contraction distinguishes it from similar affections in adults. The spasm produced is very often more marked and results in more severe symptoms than does the inflammation. This incoördination is also called spasmodic laryngitis and catarrhal croup. Symptoms In spasmodic laryngitis or croup there is a slight catarrhal inflammation of the mucous membrane lining the larynx and a marked spasm of the larynx. There may be a slight discharge from the nose and slight hoarseness. The attacks usually come on at night with a hollow, metallic cough. About this time there is difficult breathing and the cough becomes more severe and of a teasing nature, the child making every possible effort to keep from coughing. The voice becomes husky but is seldom lost. There is rapid pulse and a slight temperature seldom over 101° F. The attack lasts three or four hours, after which the child will fall asleep. The dyspnea is aggravated and the spasm increased by excitement. During the day the child will appear well except for the slight cough and hoarseness, but the second night the attack will return with about the same degree of severity as that of the first night. Usually the attack may not return the third night or if it does it will be less severe. Spasmodic laryngitis should not be confused with laryngismus stridulus, membraneous croup or with acute catarrhal laryngitis. According to Holt and Howland laryngismus stridulus occurs only in infants, and there is not only stridulous breathing, but also periods of complete arrest of respiration. Major Adjustment Lower cervical and S.P. is the combination major to use in this incoördination. Under adjustments results are often obtained immediately with no recurrence of the attack the following night. In chronic cases enlarged tonsils and adenoid growths may be found. This, however, will not change the adjustment or the combination, but will increase the amount of time required to completely correct the condition so far as the chronicity is concerned. It will not interfere with the relief from acute attacks. LARYNGISMUS STRIDULUS