The student's guide to diseases of children.
- Sir James Goodhart, 1st Baronet
- Date:
- 1886
Licence: Public Domain Mark
Credit: The student's guide to diseases of children. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![sui'O from al)Ovc upon the abdominal uall supported by the hand ])eliind. The ejecta of cdiihlren shmdd all bo examined, whether they Ijo vomited or passed from tlie bladder or rectum. 'J'he sleep of a child should be watched if oppor- tunity od'ei-. A child sleeps quite calmly when in health, and for a long time at a stretch when the first few months have passed over and the necessity of fre- quent suckling has gone by, but it is(|uickly disturbed in ill-health of all kinds. Slight attacks of fever, gastro-intestinal 'derangements, dentition, brain dis- ease, lire., all make the sleep uneasy, although not much ditlerentiation of disease can be accomplished liy observations of this kind. The manner of deglutition is another feature which often conveys an indication of disease. In an}'’ intei-fei’ence with the freedom of respiration a child will take a few snatches of food and then turn away, and splutter, or cough, or cry. If children refuse food without any dellnite reason, the mouth and throat should always receive a careful examination : stomatitis, tonsillitis, and even more serious troubles, such as ]-)ost-pharyngcal abscess, may otherwise go unrecognized. The temperature of children is often puzzling, ft is much more un.stable than in adults, and abnormal heat is more liable to e.scape notice. L suppose this is equivalent to saying that it causes less dclinite symptoms of illness, d’emperai urcs of 102° and 103“ are freipiently overlooked in infants, the child l)eing said to be sinq)ly out of sorts, and fretful. So also in children of two or three years old. ddm temperature of SOUK! children is disturbed much more I'cadily than that of others. Some there ai'e who, in the first six or eight years of life, whenever they cat anything which is at all indigcrstible, and often at otlier times With no very definite^ c-ause, sutler fiom an acute febrile disturiiancf', with cough and foul tongue. A. mihl aperient stops the uhoh^ thing. Others .again](https://iiif.wellcomecollection.org/image/b24990462_0031.jp2/full/800%2C/0/default.jpg)
