Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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248). Symptoms.—The onset of scarlatina is usually so abrupt that its begin-ning may be fixed with considerable definiteness. There is possibly a pre-vious slight duskiness of the skin, chilliness and malaise, but usually thefirst thing that attracts attention is vomiting, often without any relation toa previous meal; or there may be diarrhoea. Older children may not actuallyvomit, but complain of nausea, languor, headache, and sore throat, and feelchilly, although the face is flushed, and the thermometer may show a tem-perature as high as 103°-105° F. If such children are also drowsy, theymay become delirious in their sleep. The pulse is full and strong (120-160),the skin is hot and dry, and the throat feels stiff and uncomfortable, and, ifexamined, will show a characteristic punctate redness. Such is the ordinaryonset of a typical case of scarlet fever, but there is no disease of childhoodthat is liable to wider and more eccentric variations in its onset and course, PLATE VIII.
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