(_e_) Tonsilitis or quinsy sore throat is often mistaken for the mumps,
but to the experienced practitioner or nurse there is no resemblance,
and to mistake one for the other is almost impossible. In tonsilitis
the cheek never swells, the swelled tonsils being felt only behind the
jaw and quite below the ear. Tonsilitis occurs oftener than mumps, and
unlike the latter affection, when the patient has had one attack of
quinsy he is likely to have a recurrence whenever he gets a fresh cold.
The disease begins with difficult deglutition, pain, heat and dryness
in the throat, and always more or less fever, from which some children
become quite delirious. The affected tonsils become as large as pigeon
eggs, and can be readily felt beneath the angle of the lower jaw. The
swollen tonsils are red and dotted with yellowish spots, which is due
to the suppuration of the follicles of which the gland is composed. If
both swell at the same time so that they touch each other, symptoms of
suffocation may ensue. The writer suffered from tonsilitis when he was
a student, and the pain was indeed excruciating for a time. The pain is
sometimes greater in swallowing fluids than solids. In examining the
mouth a little skill is required. Some children are so well trained
that they will respond at once, and then by means of a spoon handle
the tongue is depressed, and the tonsils come into view. Others again
have their own sweet will about these things, and simply will not
voluntarily open their mouths. Then it takes two persons to manage them
in the following manner: while one person holds the child in his lap,
its back and head braced against his chest and the hands held down, the
other person slides the handle of a teaspoon along the tongue until he
touches the soft palate; this makes the child gag, and at that moment
the tonsils are brought plainly into view.
The treatment for tonsilitis should be prompt and active; that is,
when the disease is recognized, something should be done at once to
relieve it. If the bowels are constipated give a laxative at once, and
over the painful tonsils apply a flaxseed poultice, keeping the neck
and head wrapped up well at the same time. For the fever give a dose
of _antifebrine_ in the forenoon and at bedtime; for a child one year
old, one grain for a dose; at the age of three or four, give two grains
at once, and at eight to twelve years, three grains can be given.
Chlorate of potassa is the best remedy for a gargle, and for internal
use also. Make a solution of chlorate of potassa by dissolving one
teaspoonful in a teacupful of hot water, and when cooled off, have the
child gargle every hour or two, and swallow a half to a teaspoonful of
the solution at the same time.