ible
change of position, it shows that the child was still because
movement caused pain.

Sleeping with the mouth open and the head thrown back often
attends chronic enlargement of the tonsils and the presence of
adenoid growths in young children, although it may be seen in
other affections which make breathing difficult. In inflammation
of the brain the head is often drawn far back and held stiffly
so. Sometimes, too, in this disease the child lies upon one side
with the back arched, the knees drawn up, and the arms crossed
over the chest. A constant burying of the face in the pillow or
in the mother's lap occurs in severe inflammation of the eyes.

GESTURES

The gestures are often indicative of disease. Babies frequently
place the hands near the seat of pain; thus in slight
inflammation of the mouth they tend to put the hand in the mouth;
in earache to move it to the ear; and in headache to raise it to
the head. In headache or in affections of the brain they
sometimes pluck at the hair or the ears, although they may often
do this when there is no such trouble. Picking at the nose or at
the opening of the bowel is seen in irritation of the intestine
from worms or oftener from other cause. A child with a painful
disease of its chest may sometimes place its hand on its abdomen,
or a hungry child try to put its fists into its mouth.

In approaching convulsions the thumbs are often drawn tightly
into the palms of the hands and the toes are stiffly bent or
straightened. Very young babies, however, tend to do this,
although healthy. The alternate doubling up and straightening of
the body, with squirming movements, making of fists, kicking, and
crying, are indications of colic. This is especially true if the
symptoms come on suddenly and disappear as suddenly, perhaps
attended by the expulsion of gas from the bowel.

SKIN COLOR

The color of the skin is often altered in disease. It is yellow
in jaundice, and is bluish, especially over the face, in
congenital heart disease. There is a purplish tint around the
eyes and mouth, with a prominence of the veins of the face, in
weakly children or in those with disordered digestion. A pale
circle around the mouth accompanies nausea. The skin frequently
acquires an earthy hue in chr