The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
On the fourth day, the rash will appear, but the symptoms will be
little, if at all, mitigated; indeed, they will sometimes increase in
severity. The eruption will first be perceived about the head and face,
in the form of small red spots, at first distinct from each other, but
soon coalescing, and forming patches of an irregular crescent-like or
semilunar figure, of a dull red colour, and slightly elevated (giving a
sensation of hardness to the finger), while portions of the skin
intervening between them will retain their natural appearance. At this
time the eruption will also be found on the inside of the mouth and
throat, and the hoarseness will consequently increase.
On the fifth day, the rash usually covers the whole surface of the
body, with the exception of the legs and feet; and is now very vivid on
the face, which is not unfrequently so much swelled, especially the
eyelids, that the eyes are quite closed up, as in small-pox. On the
sixth day, it is fully out on the extremities, and is beginning to fade
on the face. On the eighth, it is fading from all parts; on the ninth,
it is hardly perceptible; and has entirely disappeared on the tenth day
from the commencement of the fever, or the sixth from its own first
appearance. As the fading proceeds, the spots drop off in the form of
little branny scales, which are sometimes, from their minuteness,
scarcely perceptible. They leave a slight discolouration on the skin,
with considerable itching.
Such is the ordinary course of this disease; occasionally, however,
deviations are met with.
CHARACTER OF MEASLES COMPARED WITH SCARLET FEVER AND SMALL-POX.--Under
the description given of Scarlet Fever, are noticed several signs by
which that disease may be distinguished from measles: to these may be
added the absence of cough, of water flowing from the eyes, and of
redness and swelling of the eyelids as in measles. Again, in measles,
the eruption is more pointed, of a crimson instead of a scarlet hue,
and does not appear until two days later than in scarlet fever.
In small-pox, the fever abates as soon as the eruption makes its
appearance. In scarlet fever, this is by no means the case; and as
little so in measles: the vomiting, indeed, subsides; but the cough,
fever, and headach grow more violent; and the difficulty of breathing,
weakness of the eyes, and, indeed, all the catarrhal symptoms, remain
without any abatement till the eruption has all but completed its
course.
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