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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
f the temperature, like the ascent, is gradual, and for a long timeduring convalescence feverishness may be noted toward evening. With in-crease of the fever the pulse-rate accelerates to 130 or 140 beats per minute,and in exceptional cases a rate of 200 may occur. Dyspnoea, however, is amore decided symptom, the ratio between the respiration and pulse not infre-quently becoming 1 to 2, or even less than 2. The alae of the nose dilatewith each inspiratory effort, the base of the chest sinks in, and the child mani- BRONCHO-PNEUMONIA. I i its expression that pain is felt in tin- side. When areas of the lungcollapse, there are paroxysms of more decided dyspnoea, the expiration becomesmore grunting, and duskiness or decided cyanosis of the skin makes its appear-ance. The cough at first is sharp and short, and is attended by grimaces anda cry of pain: later it is heard to be looser, and in children over seven years• there may be muco-purulent expectoration. In younger children the Fig. 1
Text Appearing After Image:
Chart of Temperature. Pulse and Respiration of Broncho-pneumonia in a patient two years and two months old; recovery. sputa are swallowed. With the fever and dyspnoea there is nearly always acomplete loss of appetite, but excessive thirst. Nursing infants are unable toretain hold of the nipple for more than a moment or two on account of dyspnoea,and older children refuse food entirely. The child becomes fretful and irritable,but sometimes the urgency of dyspnoea may be such that it suffers itself to betaken up or examined without complaint. The general strength rapidlydeclines, and. as the interference with respiration continues, a soporose orsomnolent condition or complete stupor presages an early death unless reliefbe afforded. Not infrequently vomiting is present at the onset or during thecourse of the disease, and with diarrhoea may still further add to the generaldepression and the unfavorable outlook. In cases in which resolution occurs the symptoms gradually ameliorate, thefeve

Note About Images