The diseases of children : a short introduction to their study / by James Frederic Goodhart.

  • Goodhart, James Frederic, 1845-1916.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The diseases of children : a short introduction to their study / by James Frederic Goodhart. 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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    inutli relieves the pain in the abdomen, and pi'ocures sleep. In the more severe cases, -with pronounced intestinal inflammation, the chief aim must ever be to su.stain the child by suitable nourishment, and if need be by stimulants, so as to allow the disease to nm its course and reparative action to take place. In cholera infantum, when the purging is pi’ofuse and very liquid, associated with vomiting and much col- lap.se—tlie symptoms which specially indicate infantile cholera—a warm bath and sometimes a mustard bath should be given at once; if the latter, about a table- s[)oonful of mustard to the gallon of water is used, and the child is kept in it till the nurse’s arms tingle. It is then to be wrapped in blankets and kept very wmrm in tlie nurse’s arms or by hot l)ottles. Sometimes the ■ clioleraic! symptoms are associated with very high ^ temperature, 105° to 108°, in which case the tepid i bath or cold pack is to lie employed frequently. The cliild may be put into a bath of 85° to 90°, the j temperature of tlie water being lowered to 80°, and n may be kept in it five minutes, then wrapped in a ! lilanket, and the process may be repeated every thi’ee j or four liotirs if necessary. Tlie cold bath was I’ecom- 1! mended by 'Rrousseau as a means of subduing nervous f symptoms, and lately its employment has again been 1 advocated in these bad cases of summer diarrlnra 1 associated with high fever, but it is a severe 3 measure for liabies. The internal treatment will de- pend upon the existence or not of urgent vomiting. If this is not very severe, small doses of castor oil may I still be given. They will speed onward any noxious 1 matters in the intestine without increasing the state |d of collapse. If the vomiting is incessant, half-grain ■] dose of hydrargyrum c. creta or one-sixth grain doses i| of calomel should be given every hour for three or four | do.ses. Henoch speaks highly of hydrochloric acid in i| i small doses and also of creasote (F. 18). For my owniB part, I now give salicylate of soda on the antiseptic “ hypothe.sis, as in the milder cases, but the disease is so ;