ur, and slight remedial measures will give relief.
If, however, the disease be more serious, and inflammation ensue, this
sign will be more constantly present, and soon the countenance will
become pale, or sallow and sunken,--the child will dread motion, and
lie upon its back with the knees bent up to the belly,--the tongue will
be loaded,--and in breathing, while the chest will be seen to heave
with more than usual effort, the muscles of the belly will remain
perfectly quiescent.
If the nostrils are drawn upwards and in quick motion, pain exists in
the chest. This sign, however, will generally be the accompaniment of
inflammation of the chest, in which case the countenance will be
discoloured,--the eyes more or less staring, and the breathing will be
difficult and hurried; and if the child's mode of respiring be watched,
the chest will be observed to be unmoved, while the belly quickly
heaves with every inspiration.
Convulsions are generally preceded by some changes in the countenance.
The upper lip will be drawn up, and is occasionally bluish or livid.
Then there may be slight squinting, or a singular rotation of the eye
upon its own axis; alternate flushing or paleness of the face; and
sudden animation followed by languor.
These signs will sometimes manifest themselves many hours, nay days,
before the attack occurs; may be looked upon as premonitory; and if
timely noticed, and suitable medical aid resorted to, the occurrence of
a fit may be altogether prevented.
The state of the eyes should always be attended to. In health they are
clear and bright, but in disease they become dull, and give a heavy
appearance to the countenance; though after long continued irritation
they will assume a degree of quickness which is very remarkable, and a
sort of pearly brightness which is better known from observation than
it can be from description.
The direction of the eyes, too, should be regarded, for from this we
may learn something. When the infant is first brought to the light,
both eyes are scarcely ever directed to the same object: this occurs
without any tendency to disease, and merely proves, that regarding one
object with both eyes is only an acquired habit. But when the child has
come to that age when the eyes are by habit directed to the same
object, and afterwards it loses that power, this circumstance alone may
be looked upon as a frequent prelude to disease affecting the head.
OF THE GESTURES.
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