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Page 10 text:
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Page 9 text:
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1 . Nj or. GILMAN'S LECTURE ON THE ' Us W .PNEUMONIA OF IN FAN TS I Ji . V Q 40:20. . . . F1 he p11eumon1a of infants differs from f'-- r , 'M l ' I A Q ,g . 5 - CN! at of the adult in several respects. It is a V 1: A much more fatal disease and is very insid- ii ' . ious in its approach. It's seldom a primary disease, but it is most frequently secondary to some other disease as bronchitis, whoo in cou h scarlatina. small P g S v . pox, diarrhea, etc. Many of which diseases when they rove fatal, do so from the su ervention of neumonia P P P in a majority of cases. Symptoms: It usually makes its approach very insid- iously and if it supervenes upon any bronchial infection, the cough becomes slight with little or no expectoration. Pulse frequent from 130 or 140 or 150 in a minute. Respiration hurried, 60 or 70 in a minute and confined to the upper part of the lungs, and as the disease pro- gresses the child becomes stupid from the circulation of venous blood through the brain. Finally convulsions sometimes superveneg coma and death. case as the feeble are much more subject to the diseasej or more than 6 months old you may apply 4 leeches, 2 to the root fbasej of each lung. Evacuate the bowels freely with calomel or blue pill with a little magnesia fol- lowed by a little castor oil if necessary. The child should not be allowed to nurse, but give it cold water freely to drink, and sponge the body if it is hot and dry. Keep the child perfectly quiet, let him be moved as little as possible. Visit your patient in 3 or 4 hours, if the disease has not advanced further depletion is not necessary, but give ipicac 1X4 or 1X3 of a grm. frequently repeated, if it vomits no harm is done. In strong children you may give tart ant. U16 gr. at a dose, but if it produces diar- rhea give an anadyne injection at once and stop the antimony. Anadyne will often do good if the child is restless after depletion and the Ipicac. Onion poultices to the feet are of service. A piece of oil silk as long as the hand to the posterior and another to the anterior part of the chest is a good application as it will produce considerable irritation of the skin. Blisters should not be applied in any case as they seldom do any good but frequently do much harm. Hive syrup is a very good remedy in these cases. PROF. GILMAN 'X The state of the alimentary canal is remarkable, the bowels being very irritable with diarrhea, Whilst the stomach is usually insusceptible to the action of emetics. The symptoms afforded by auscultation are very unsat- isfactory, the peculiar crepitant rattle of the adult is not heard in the child and there is little or no increase in the respiration. The dullness or percussion is very difficult of detection as both lungs are usually implicated in the diagnosis. In your diagnosis you are to take the pulse and the respiration as the principal symptoms from which to draw your conclusions. Treatment: The treatment should be active, but not carried too far for the inflamation canlt be stopped at once by depletion. But if the child is under six months old, apply one leech to the back over the root of each lung. If the child is strong fwhich is not frequently the Ag fig? . .,f7?- Ie. K '- Cf if :Wood of Naptha, Comph Tincture Opii, ,995 R coNsUMPT1oN s . Aromat Sulph Acid-1 oz. Dose: 40 qtt 3 times a day, given in a tea of Wild cherry bark. This prescription is highly recommended by Prof. Mott in cases of Pthisis with cough expectoration. PROP. Mo'1'r Oct. 30, 1847
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